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

Stafford R Long, PA-C

Individual provider Physician Assistant · NPI 1851343396

Stafford R Long, PA-C is a Physician Assistant in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2751 Albert L Bicknell Dr Ste 1-B
Shreveport, LA 71103-3920
Phone: (318) 212-8776
Fax: (318) 212-8774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA A10311 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA.A10311 (LA)

Record details

NPI number1851343396
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

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