Robert Todd Liston Long MD FACS

NPI 1679513949 - Emergency Medicine - 207P00000X

NPI Details
NPI 1679513949
Gender Male
Enumeration Date 06/07/2006
Last Updated 07/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
42024 HIGHWAY 195
HALEYVILLE AL, 35565-7054, US
Phone (256) 757-6840
Fax (256) 757-6840
Business Location
200 CORPORATE BLVD.
SUITE 200
LAFAYETTE LA, 70508, US
Phone (800) 893-9698
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Alabama
License Number 0002859
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According to our database, Robert Todd Liston Long MD FACS NPI is 1679513949, taxonomy code is 207P00000X and license number is 0002859, license state is located at Alabama. Robert Todd Liston Long MD FACS physically located at 42024 Highway 195, Haleyville AL, 35565-7054. NPI Number Robert Todd Liston Long MD FACS has the Individual type.

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1679513949 NPI number is provided on an as is basis without warranty of any kind. 1679513949 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Todd Liston Long MD FACS are for informational purposes only.