IndividualActive
Anthony Long, CSA
NPI 1912455387 · Surgical Physician Assistant · Pine Bluff, AR
Provider details
- NPI number
- 1912455387
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4651 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
17 Mockingbird Ln
Pine Bluff, AR 71603-6107
Phone: (870) 556-0976
Approximate (ZIP-level) locationGet directions
Mailing address
17 Mockingbird Ln
Pine Bluff, AR 71603-6107
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2016-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.