Individual
MRS. GRACE TAYLOR LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 463-3000
(479) 463-3050
Mailing address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 463-3000
(479) 463-3050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AR
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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