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Victor D Long, CRNA, MS

Nurse Anesthetist, Certified Registered in Norman, OK. Individual provider (NPI-1).

NPI number1609801034
StatusActive
Last updated in NPPESAug 19, 2008

Details

NPI
1609801034
Entity type
Individual (NPI-1)
Name
Victor D Long
Credential
CRNA, MS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2006
Last updated
Aug 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR0033797OKYes

Practice location

415 W Gray St
Norman, OK 73069-7117

Phone 405-364-6182 · Fax 405-364-5379

Mailing address

415 W Gray St
Norman, OK 73069-7117

Phone 405-364-6182 · Fax 405-364-5379

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