institution
C.w. Long Enterprises, Inc.
General Practice Physician in Butler, Missouri
NPI 1811122864

C.w. Long Enterprises, Inc. is a General Practice Physician based in Butler, MO. C.w. Long Enterprises, Inc. practices in Butler, MO. The NPI Number for C.w. Long Enterprises, Inc. is 1811122864 and holds a License No. 29119 (Missouri).

The current practice location address for C.w. Long Enterprises, Inc. is 200 W Chestnut St, Butler, MO and can be reached out via phone at 660-679-3140 and via fax at 660-679-3468.

Location: 200 W Chestnut St, Butler, MO, 64730-0140
institution
Provider Profile Details
NPI Number
1811122864
Provider Name
C.w. Long Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
200 W Chestnut St, Butler, MO, 64730-0140
Phone Number
660-679-3140
Fax Number
660-679-3468
Provider Enumeration Date
05/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200645901 05 MO
institution
Provider Business Practice Location Address Details
Address
200 W Chestnut St
City
State
Zip
64730-1554
Phone Number
660-679-3140
Fax Number
660-679-3468
person
Provider Business Mailing Address Details
Address
200 W Chestnut St
City
State
Zip
64730-1554
Phone Number
660-679-3140
Fax Number
660-679-3468
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
29119 (Missouri)
Definition
Definition to come...
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