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Organization

MEDIQUEST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HUNTER BURROUGHS (PRESIDENT OWNER)
(479) 636-9700
Entity
Organization

Contact information

Practice address
200-202 S. 24TH STREET, ROGERS, AR 72758-1129
(479) 636-9700
(479) 636-9707
Mailing address
PO BOX 1784, BENTONVILLE, AR 72712-1784
(479) 636-9700
(479) 636-9707

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145876716
AR
Enumeration date
02/03/2006
Last updated
11/20/2012
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