Individual
KORIE BROOKE MCQUAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2152 S VINEYARD STE 138, MESA, AZ 85210-6882
(480) 539-6646
(480) 539-6696
Mailing address
2152 S VINEYARD STE 138, MESA, AZ 85210-6882
(480) 539-6646
(480) 539-6696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059832
PA
Other
Enumeration date
09/15/2016
Last updated
02/14/2024
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