Organization
QUAIL RIDGE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST SHAYNE MONSON NP, DC (OWNER/AUTHORIZED OFFICIAL)
(928) 529-5086
Entity
Organization
Contact information
Practice address
2331 HUALAPAI MOUNTAIN RD, SUITE A, KINGMAN, AZ 86401-6207
(928) 529-5086
(928) 529-5089
Mailing address
2331 HUALAPAI MOUNTAIN RD, SUITE A, KINGMAN, AZ 86401-6207
(928) 529-5086
(928) 529-5089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
07/15/2016
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