Individual
MRS. STACY LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5355 E ERICKSON DR, TUCSON, AZ 85712-2826
(520) 324-2080
(520) 299-8202
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4312
AZ
363A00000X
Physician Assistant
PA18670
CA
Other
Enumeration date
11/08/2006
Last updated
06/18/2024
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