Robert Wayne Long in Bonney Lake - Specialist

Robert Wayne Long - NPI 1508908880

Robert Wayne Long is a Specialist in Bonney Lake, Washington. Robert Wayne Long practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert Wayne Long is 1508908880. The last update date is 2013-02-28.

Robert Wayne Long's current location address is 10215 214th Ave E, Bonney Lake, Washington. You can contact this provider via phone number 2538627374 and fax number 2538620448. The mailing address for Robert Wayne Long is 10215 214th Ave E, Bonney Lake, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Wayne Long
Address 10215 214th Ave E, Bonney Lake, Washington
Phone Number 2538627374
Fax Number 2538620448
Sole Proprietor Y
Credentials CDP

NPI Number Detail

NPI Number 1508908880
Provider Enumeration Date 2007-02-13
Last Updated Date 2013-02-28

Provider Mailing Address Detail

Address 10215 214th Ave E
City Bonney Lake
State Washington (WA)
Post Code 983913909
Phone Number 2538627374
Fax Number 2538620448

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No CP00002606
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Robert Wayne Long

What is the Robert Wayne Long's unique identification number?

The Robert Wayne Long has been assigned the NPI (National Provider Identifier) Number 1508908880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Robert Wayne Long is physically located?

The Robert Wayne Long is situated at the following address: 10215 214Th Ave E, Bonney Lake, WA 983913909.

What is Robert Wayne Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert Wayne Long is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did Robert Wayne Long receive its 1508908880 assignment from the Centers for Medicare & Medicaid Services?

The Robert Wayne Long was assigned its 1508908880 on 2007-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Robert Wayne Long, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert Wayne Long, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-28.

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