Individual
DR. JEFFERY LANIER QUICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 S 6TH ST, WILLIAMS, AZ 86046-0110
(928) 635-4441
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010210
AZ
390200000X
Student in an Organized Health Care Education/Training Program
010210
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/09/2021
Last updated
08/08/2024
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