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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANTHONY D LONG JR., CSA

Active Sole Proprietor

MR. ANTHONY D LONG JR., CSA is a Surgical Physician Assistant healthcare provider located in PINE BLUFF, Arkansas. NPI 1912455387 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PINE BLUFF, AR

Registration Details

NPI Number
1912455387
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2016 (9.8786567269126 yrs)
Last Updated
Sep 14, 2016
License
4651 (AR)
Sole Proprietor
Yes

Practice Information

Address
17 MOCKINGBIRD LN
PINE BLUFF, AR, 716036107
Browse AR providers · Browse ZIP 71603
Phone
8705560976
Primary Specialty
Surgical Physician Assistant
363AS0400X
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.