Stephen Layne Long, MD Valid NPI

Individual provider · General Practice Physician · Conway, AR

NPI

1821012089

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

C5423 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-27

Last updated

2012-12-03