Individual
MR. WILLIAM RONALD MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
301 E. MAIN ST., SUITE 26, BUENA VISTA, CO 81211-5039
(719) 395-4567
Mailing address
PO BOX 5039, BUENA VISTA, CO 81211-5039
(719) 395-7807
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1006
CO
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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