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Individual
MR. DARREN B QUAILE
Active
Individual
MR. DARREN B QUAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-01527
KS
363AM0700X
Medical Physician Assistant
2012010358
MO
363AS0400X
Surgical Physician Assistant
Primary
2012010358
MO
Other
Enumeration date
01/25/2012
Last updated
01/07/2021
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