Individual
MR. ROBERT STEVEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1200 UNIVERSITY DR, 4891, PINE BLUFF, AR 71601-2780
(870) 575-7230
(870) 575-4655
Mailing address
6401 S HAZEL ST APT 110, PINE BLUFF, AR 71603-7842
(662) 897-4314
(870) 575-4655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 672
AR
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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