Individual
MR. CARL YALE MALMQUIST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6319 E TELEGRAPH ST, YUMA, AZ 85365-1117
(928) 920-6600
(877) 544-6468
Mailing address
6319 E TELEGRAPH ST, YUMA, AZ 85365-1117
(928) 920-6600
(877) 544-6468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6056
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0920400
NON-CONTRACTED ID NUMBER
AZ
Enumeration date
12/08/2006
Last updated
08/31/2011
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