Individual
MRS. HEIDI E QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6320 W UNION HILLS DR, #B2600, GLENDALE, AZ 85308-1096
(602) 942-5600
(623) 825-6386
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
09/27/2017
Last updated
10/25/2017
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