# STEPHEN LAYNE LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821012089
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083X0100X | Occupational Medicine Physician | C5423 | AR | — |
| 208D00000X | General Practice Physician | C5423 | AR | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101307001 | — | AR |