Organization
MEDTRIQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAINDER SHERGILL D.O. (OWNER)
(360) 334-1882
Entity
Organization
Contact information
Practice address
2603 BRIDGEPORT WAY W STE F, UNIVERSITY PLACE, WA 98466-4724
(253) 666-6780
(253) 666-6793
Mailing address
9000 CROW CANYON RD STE S360, DANVILLE, CA 94506-1189
(360) 334-1882
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
603397063
WA
Other
Enumeration date
06/21/2014
Last updated
08/11/2020
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