Organization
QUICK MED CENTER LLC
Active
Other names
AKOS
Organization subpart
No
Provider details
NPI number
Authorized official
KISHLAY ANAND MD (OWNER)
(602) 867-8644
Entity
Organization
Contact information
Practice address
5104 N 67TH AVE, GLENDALE, AZ 85301-6541
(602) 899-4404
(602) 899-4408
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(602) 899-4404
(602) 899-4408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116132
—
AZ
Enumeration date
05/08/2018
Last updated
06/11/2019
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