Stafford R Long, PA-C
NPI #1851343396 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1851343396
- Entity Type
- Individual
- Name
- Stafford R Long, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- May 16, 2006
- Last Updated
- Jun 3, 2021
Practice Location
- Address
- 2751 ALBERT L BICKNELL DR
- Address 2
- SUITE 1-B
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-3920
- Phone
- (318) 212-8776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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