MRS. Grace Taylor Long, PA

NPI #1053120329 in Fayetteville, Arkansas

Provider Information

NPI Number: 1053120329
Entity Type: Individual
Name: MRS. Grace Taylor Long, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 3336 N FUTRALL DR
City: Fayetteville
State: Arkansas
ZIP Code: 72703-4057
Phone: (479) 463-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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