Individual
QUINCY EASTLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
166 E BOWERS CT, TUCSON, AZ 85704-6548
(913) 957-0420
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
239014
AZ
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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