Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STAFFORD R LONG, PA-C
ActiveSTAFFORD R LONG, PA-C is a Surgical Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1851343396 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1851343396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.204661928073 yrs)
- Last Updated
- Jun 3, 2021
- Licenses
-
PA.A10311 (LA)PA A10311 (LA)
Practice Information
- Address
-
2751 ALBERT L BICKNELL DRSUITE 1-BSHREVEPORT, LA, 711033920Browse LA providers · Browse ZIP 71103
- Phone
- 3182128776
- Fax
- 3182128774
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| CHARLES GIRARD TISDALE | PA-C | 1821096686 |
| SHERRY B WALKER | PA | 1669442133 |
| PAUL BRYANT MCHALFFEY | PA-C | 1720041312 |
| MARY EMILY MAY | — | 1528082781 |
| MS. MARIBETH FORREST | P.A.-C | 1235220708 |
| SCOTT R GILLUM | PA | 1114003076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.