Individual provider · Type 1 NPI

Patrick C. Long, MD

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1174752273 Active

Practice location

2907 E Joyce Blvd
Fayetteville, AR 72703-5011

Call (479) 521-8260 Map

Fax (479) 444-7820

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174752273

Patrick C. Long, MD's National Provider Identifier is 1174752273, issued on Jul 9, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 9, 2009.