Organization
LIFEQUEST HOLDING COMPANY GILBERT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE DWYER (BILLING SPECIALIST)
(480) 659-2000
Entity
Organization
Contact information
Practice address
4049 E. WILLIAMS FIELD RD SUITE 101, GILBERT, AZ 85295
(480) 659-2000
Mailing address
4049 E. WILLIAMS FIELD RD SUITE 101, GILBERT, AZ 85295
(480) 659-2000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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