ROBERT L LONG JR.

ANDALUSIA PHYSICIAN PRACTICES LLC

Dr ROBERT L LONG JR. is a male medical professional, specializing in Urology. He graduated in 1975 from University Of Kentucky College Of Medicine.

Contact

ANDALUSIA PHYSICIAN PRACTICES LLC

301 MEDICAL AVE A
ANDALUSIA
AL
364201102

Tel: 3342222418

ROBERT L LONG JR. Information

Npi 1356317002
Pac Id 8123185162
Professional Enrollment Id I20161205001047
Last Name LONG
First Name ROBERT
Middle Name L
Suffix JR.
Gender M
Credential
Medical School Name UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year 1975
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ANDALUSIA PHYSICIAN PRACTICES LLC
Group Practice Pac Id 7315043007
Number Of Group Practice Members 10
Line 1 Street Address 301 MEDICAL AVE A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANDALUSIA
State AL
Zip Code 364201102
Phone Number 3342222418
Hospital Affiliation Ccn 1 010036
Hospital Affiliation Lbn 1 ANDALUSIA REGIONAL HOSPITAL
Hospital Affiliation Ccn 2 100054
Hospital Affiliation Lbn 2 TWIN CITIES HOSPITAL
Hospital Affiliation Ccn 3 100081
Hospital Affiliation Lbn 3 HEALTHMARK REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 4 100122
Hospital Affiliation Lbn 4 NORTH OKALOOSA MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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