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Individual

DAR QUEALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
910 S 300 W, BLANDING, UT 84511-3921
(435) 678-3601
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 678-0608

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
327574-1206
UT

Other

Enumeration date
12/27/2017
Last updated
03/07/2022
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