Individual
MR. CHARLES LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 E GRANT ROAD, TUCSON, AZ 85712-6115
(520) 324-5982
Mailing address
4250 N VENTANA LOOP, TUCSON, AZ 85750
(520) 722-5807
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
07/01/2011
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