Individual
MRS. CAITLIN EMILY MCQUARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2712 E GERONIMO ST, GILBERT, AZ 85295-1212
(602) 380-7672
Mailing address
2712 E GERONIMO ST, GILBERT, AZ 85295-1212
(602) 380-7672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6920
AZ
363AM0700X
Medical Physician Assistant
Primary
6920
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6920
AZ MEDICAL BOARD
AZ
Enumeration date
10/10/2017
Last updated
12/15/2022
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