Organization
CONQUEST MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WRIGHT (CEO)
(909) 481-8279
Entity
Organization
Contact information
Practice address
2355 FOOTHILL BLVD STE 146, LA VERNE, CA 91750-3027
(562) 805-1876
Mailing address
9300 SANTA ANITA AVE, 103, RANCHO CUCAMONGA, CA 91730
(909) 481-8279
(909) 980-1378
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
09/02/2015
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