Individual
ROLAND ALLEN PALMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
Mailing address
8958 RIVERSIDE DR, PARKER, AZ 85344-8088
(928) 667-4494
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
635
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
E3868
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD-2
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749096
—
AZ
Enumeration date
07/21/2006
Last updated
07/29/2013
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