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Individual

DR. JAMES W LONG

Active
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Individual

DR. JAMES W LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R2078
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100083360A
OKLAHOMA MEDICAID
OK
05
—
105614001
—
AR
01
—
1372578
CIGNA
AR
01
—
15472000000
QUALCHOICE
AR
01
—
200038805
RAILROAD MEDICARE
AR
01
—
4613325
AETNA
AR
01
—
53200
ARKANSAS BLUE CROSS
AR
01
—
904208
USA MCO
AR
01
—
920001
UNITED HEALTHCARE
AR
Enumeration date
03/10/2006
Last updated
12/14/2009
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