Individual
DR. CLAYTON W LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(515) 460-6232
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(515) 460-6232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
67305
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
67305
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
05/05/2019
Last updated
04/30/2026
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