Dr. Robert M. Long, M.D.
Psychiatry & Neurology, Psychiatry in Pueblo, CO. Individual provider (NPI-1).
NPI number1023045762
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023045762
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert M. Long
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 38301 | CO | Yes |
Practice location
1600 W 24th StPueblo, CO 81003-1411
Phone 719-546-4495 · Fax 719-546-4476
Mailing address
1600 W 24th StPueblo, CO 81003-1411
Phone 719-546-4495 · Fax 719-546-4476
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