ANTHONY D LONG

PINE BLUFF, AR
NPI1912455387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AR  4651)
Enumeration Date2016-09-14
Last Update Date2016-09-14
Business Address
Mr. ANTHONY D LONG CSA
17 MOCKINGBIRD LN
PINE BLUFF, AR 71603-6107
Phone number: 870-556-0976
Mailing Address
Mr. ANTHONY D LONG CSA
17 MOCKINGBIRD LN
PINE BLUFF, AR 71603-6107
Phone number: 870-556-0976
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