Derek Long, O.D

NPI 1699734368 · on the registry since 2006 · sole proprietor

Practice

Address: 115 Audubon Dr
Suite 8
Maumelle, AR 72113
Phone: (501) 803-3937
Fax: (501) 803-3962
Organisation at this address: Derek S Long Od, Inc
Serc Rehabilitation Partners Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas