MR. Anthony D Long JR., CSA

NPI #1912455387 in Pine Bluff, Arkansas

Provider Information

NPI Number
1912455387
Entity Type
Individual
Name
MR. Anthony D Long JR., CSA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
CSA
Enumeration Date
Sep 14, 2016
Last Updated
Sep 14, 2016

Practice Location

Address
17 MOCKINGBIRD LN
ZIP Code
71603-6107
Phone
(870) 556-0976

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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