Individual
DR. JAMES W LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-7994
(479) 709-6700
(479) 709-6751
Mailing address
PO BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-6700
(479) 709-6751
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R2078
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100083360A
OKLAHOMA MEDICAID
OK
05
—
105614001
—
AR
01
—
1372578
CIGNA
AR
01
—
15472000000
QUALCHOICE
AR
01
—
200038805
RAILROAD MEDICARE
AR
01
—
4613325
AETNA
AR
01
—
53200
ARKANSAS BLUE CROSS
AR
01
—
904208
USA MCO
AR
01
—
920001
UNITED HEALTHCARE
AR
Enumeration date
03/10/2006
Last updated
12/14/2009
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