Organization
MEDIQUEST PAIN SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE R GIBSON (OWNER/OPERATIONS MANAGER)
(479) 636-9700
Entity
Organization
Contact information
Practice address
202 S 24TH ST, ROGERS, AR 72758-1129
(479) 636-9700
Mailing address
PO BOX 1784, BENTONVILLE, AR 72712-1784
(479) 636-9700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
05/01/2013
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