Individual
MARIA KATHLEEN PALMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5761 S FORT APACHE RD, LAS VEGAS, NV 89148-5506
(702) 341-6610
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-1100
(208) 302-1155
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D64119
MD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
23657
NV
207VM0101X
Maternal & Fetal Medicine Physician
7541
SD
207VM0101X
Maternal & Fetal Medicine Physician
M-15121
ID
207VM0101X
Maternal & Fetal Medicine Physician
MD205395
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6632200
—
SD
Enumeration date
12/06/2006
Last updated
09/08/2023
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