Stafford R Long, PA-C is a surgical physician assistant in Shreveport, LA. Stafford R Long, PA-C NPI is 1851343396. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2751 ALBERT L BICKNELL DR
SUITE 1-B
SHREVEPORT, LA
ZIP 71103-920
Phone: (318) 212-8776
Fax: (318) 212-8774
The NPI 1851343396 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/16/2006 and was last updated on 6/3/2021.