Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay Richard Long, MD

Individual provider Family Medicine Physician · NPI 1447364963

Jay Richard Long, MD is a Family Medicine Physician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1190 E Missouri Ave Suie 160
Phoenix, AZ 85014-2734
Phone: (602) 246-7211
Fax: (602) 264-2462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8862 (AZ)

Record details

NPI number1447364963
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 19, 2006
Last updated in NPPESFebruary 9, 2010

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