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NPI Code Detail

MEDICARE: ALLAN P LONG LTD

MEDICARE: ALLAN P LONG LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN0400XNeurology ChiropractorB00158NV

General Provider Information

NPI Number : 1760698732
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLAN P LONG LTD
Provider Business Mailing Address
First Line : 1605 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3312
Country : US
Telephone Number : 702-382-0211
Fax Number : 702-382-3994
Provider Business Practice Location Address
First Line : 1605 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3312
Country : US
Telephone Number : 702-382-0211
Fax Number : 702-382-3994
Authorized Official
Title or Position : OWNER
Name : MR. ALLAN P LONG
Credential : DC
Telephone Number : 702-382-0211
Provider Enumeration Date : 05/15/2007
Last Update Date : 06/18/2008

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Directions to “ALLAN P LONG LTD ” Practice Location

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