Individual
DR. PATRICK C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2907 E JOYCE BLVD, FAYETTEVILLE, AR 72703-5011
(479) 521-8260
(479) 444-7820
Mailing address
2907 E JOYCE BLVD, FAYETTEVILLE, AR 72703-5011
(479) 521-8260
(479) 444-7820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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