Organization
DEBORAH S QUADE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH S QUADE M.D. (OWNER)
(501) 316-5010
Entity
Organization
Contact information
Practice address
2519 MILITARY RD, SUITE B, BENTON, AR 72015-2498
(501) 316-5010
(501) 316-5014
Mailing address
2519 MILITARY RD, SUITE B, BENTON, AR 72015-2498
(501) 316-5010
(501) 316-5014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134519001
—
AR
05
—
142721002
—
AR
Enumeration date
04/14/2010
Last updated
07/23/2012
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