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Individual

FRANK JOSEPH QUAYLE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004001484
MO
208600000X
Surgery Physician
Primary
46117
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34273522
CO
Enumeration date
03/21/2007
Last updated
10/21/2008
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