Organization
QUAD CITY MEDICAL ASSOCIATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARENDRA SANKAR M.D. (MD/OWNER)
(928) 632-5291
Entity
Organization
Contact information
Practice address
390 S HIGHWAY 69, SUITE 102, DEWEY, AZ 86327-7082
(928) 632-5291
(928) 632-5447
Mailing address
PO BOX 1568, DEWEY, AZ 86327-1568
(928) 632-5291
(928) 632-5447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45041
AZ
Other
Enumeration date
03/22/2015
Last updated
05/14/2015
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