Individual
JAMES L. QUACKENBUSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 245-1220
(970) 245-9148
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 254-2642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0033939
CO
Other
Enumeration date
11/28/2005
Last updated
10/16/2024
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