NPI 1194503862

Robert Henry Long

Practitioner Driver Des Moines, IA

Practice location

Address: 2200 Stanton Ave APT C36, Des Moines, IA 50321-2343
Phone: (515) 360-1377

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 824YY1420 (IA)

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Registry record

NPI: 1194503862
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2023
Record last updated: 15 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.