Organization
HEALTH QUEST INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT BURGENER LMT (OWNER)
(509) 527-1156
Entity
Organization
Contact information
Practice address
2316 EASTGATE ST STE 110, WALLA WALLA, WA 99362-1576
(509) 527-1156
(506) 522-4933
Mailing address
2316 EASTGATE ST STE 110, WALLA WALLA, WA 99362-1576
(509) 527-1156
(506) 522-4933
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA60656571
WA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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