| Doctor Name: | DR. CURTIS W LONG |
| NPI Number: | 1235111030 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 29119 |
| Business Practice Address: | 200 W Chestnut St Butler, MO - 647301554 |
| Business Phone Number: | 6606793149 |
| Business Fax Number: | 6606793468 |
| Mailing Address: | 200 W Chestnut St, BUTLER |
| State: | MO |
| Postal Code: | 647301554 |
| Phone Number: | 6606793149 |
| Fax Number: | 6606793468 |
| NPI Enumeration Date: | 11/17/2005 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 29119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |