Organization
SQ1 MEDICAL, INC.
Active
Other names
Square One Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KENNETH GERARD MD (OWNER)
(760) 286-9946
Entity
Organization
Contact information
Practice address
165 N LURING DR, PALM SPRINGS, CA 92262-6829
(760) 286-9946
Mailing address
165 N LURING DR, PALM SPRINGS, CA 92262-6829
(760) 286-9946
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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