Stephenie R. Long, MD LLC

NPI #1639283807 in Bastrop, Louisiana

Provider Information

NPI Number: 1639283807
Entity Type: Organization
Organization Name: Stephenie R. Long, MD LLC
Primary Specialty: Surgery
Enumeration Date: Aug 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 420 S VINE ST
City: Bastrop
State: Louisiana
ZIP Code: 71220-4514
Phone: (318) 281-0065

Authorized Official

Name: DR. STEPHENIE R. LONG, M.D.
Title: OWNER
Phone: (318) 281-0065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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