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Daniel Long
Surgical Physician Assistant in Baton Rouge, Louisiana
NPI 1386099224

Daniel Long is a Surgical Physician Assistant based in Baton Rouge, LA and is specialized in Surgical. Daniel Long practices in Baton Rouge, LA. The NPI Number for Daniel Long is 1386099224 and holds a License No. (Louisiana).

The current practice location address for Daniel Long is 10101 Park Rowe Ave, Baton Rouge, LA and can be reached out via phone at 225-769-2200 and via fax at 225-768-2185.

Location: 10101 Park Rowe Ave, Baton Rouge, LA, 70884-9509
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Provider Profile Details
NPI Number
1386099224
Provider Name
Daniel Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
10101 Park Rowe Ave, Baton Rouge, LA, 70884-9509
Phone Number
225-769-2200
Fax Number
225-768-2185
Provider Enumeration Date
04/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA.303108 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
10101 Park Rowe Ave
City
State
Zip
70810-1686
Phone Number
225-769-2200
Fax Number
225-768-2185
person
Provider Business Mailing Address Details
Address
10101 Park Rowe Ave
City
State
Zip
70810-1686
Phone Number
225-769-2200
Fax Number
225-768-2185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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