Individual provider · Type 1 NPI

Stafford R. Long, PA-C

Surgical Physician Assistant · Shreveport, LA

NPI number 1851343396 Active

Practice location

2751 Albert L Bicknell Dr, Suite 1-B
Shreveport, LA 71103-3920

Call (318) 212-8776 Map

Fax (318) 212-8774

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.A10311 (LA)
Surgical Physician Assistant Primary 363AS0400XPA A10311 (LA)

Surgical Physician Assistant: Definition to come...

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About NPI 1851343396

Stafford R. Long, PA-C's National Provider Identifier is 1851343396, issued on May 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shreveport, LA. The record was last updated on Jun 3, 2021.