Individual
MR. DUSTIN C SANDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
16187 S SANTA RITA SHADOWS DR, VAIL, AZ 85641-2388
(256) 677-9625
Mailing address
16187 S SANTA RITA SHADOWS DRIVE, VAIL, AZ 85641-0000
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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