Individual
KOURTNEY QUIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S1
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 268-3279
Mailing address
906 W PECOS AVE, MESA, AZ 85210-8236
(480) 268-3279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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