Individual
MR. STEVEN QUAKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3245 E HWY 50, SUITE E, CANON CITY, CO 81212-9342
(719) 285-2888
(719) 285-2889
Mailing address
3245 E HWY 50, SUITE E, CANON CITY, CO 81212-9342
(719) 285-2888
(719) 285-2889
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
22
CO
Other
Enumeration date
05/14/2008
Last updated
10/03/2013
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