Individual
MR. JUSTIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 N. COLLEGE AVE, FAYETTEVILLE, AR 72701
(479) 637-6809
Mailing address
3324 S OLD MISSOURI RD APT E201, SPRINGDALE, AR 72764-3093
(479) 637-6809
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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