Individual
DR. MICHAEL J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
2085R0204X
Vascular & Interventional Radiology Physician
Primary
E-2576
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104084599
THE VEIN CENTER, PLLC
AR
05
—
149923001
—
AR
Enumeration date
05/20/2006
Last updated
10/21/2008
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