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1770527103
CHARLES ROBERT LONG
ROANOKE, VA
NPI
1770527103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: VA 0101054878)
Enumeration Date
2006-06-15
Last Update Date
2007-11-07
Business Address
CHARLES ROBERT LONG MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7553
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Mailing Address
CHARLES ROBERT LONG MD
PO BOX 12668
ROANOKE, VA 24027-2668
Phone number: 540-981-7553
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