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MICHAEL PATRICK QUIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
18404 N TATUM BLVD, SUITE 202, PHOENIX, AZ 85032-1510
(480) 473-3668
(480) 473-3668
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 385-2115
(480) 422-6551

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2136
AZ
363AS0400X
Surgical Physician Assistant
2272
CO

Other

Enumeration date
08/30/2006
Last updated
02/15/2016
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