Organization
DIAGNOSTIC EVALUATION SERVICES
Active
Organization
DIAGNOSTIC EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM QUTUB (CEO)
(303) 246-9879
Entity
Organization
Contact information
Practice address
800 DOUGLAS BLVD, ROSEVILLE, CA 95678-2711
(303) 246-9879
Mailing address
PO BOX 271388, LITTLETON, CO 80127-0023
(303) 246-9879
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
201127910242
CA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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