Organization
THE VEIN CENTER
Active
Organization
THE VEIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J LONG M.D. (OWNER)
(501) 225-8346
Entity
Organization
Contact information
Practice address
11219 FINANCIAL CENTRE PKWY, SUITE 215, LITTLE ROCK, AR 72211-3800
(501) 225-8346
(501) 217-9819
Mailing address
11219 FINANCIAL CENTRE PKWY, SUITE 215, LITTLE ROCK, AR 72211-3800
(501) 225-8346
(501) 217-9819
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
E-2576
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168208002
—
AR
Enumeration date
06/02/2008
Last updated
04/24/2014
Update your record
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