Individual provider · Type 1 NPI
Anthony D. Long Jr., CSA
Surgical Physician Assistant · Pine Bluff, AR
NPI number
1912455387
Active
Practice location
17 Mockingbird Ln
Pine Bluff, AR 71603-6107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 4651 (AR) |
Surgical Physician Assistant: Definition to come...
About NPI 1912455387
Anthony D. Long Jr., CSA's National Provider Identifier is 1912455387, issued on Sep 14, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pine Bluff, AR. The record was last updated on Sep 14, 2016.