QUAD CITY MEDICAL ASSOCIATE, LLC
Osteopathic Medicine in Dewey, AZ

License number
Arizona 45041
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: NARENDRA SANKAR M.D.
Title: MD/OWNER
Phone: (928) 632-5291
Address
Address
390 S Highway 69 SUITE 102, Dewey, AZ 86327
National Provider ID: 1235523895
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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QUAD CITY MEDICAL ASSOCIATE, LLC

Ste 10 STE 102, Dewey, AZ 86327

Registration:
Nov 20, 2014
State ID:
L-1966450-5
Expiration:
Perpetual
Managers:
Narendra Sankar (Manager), Ste 10 STE 102, Dewey, AZ 86327 (Physical),Virginia Martel (Manager), Ste 10 STE 102, Dewey, AZ 86327 (Physical)
Agent:
United States Corporation Agen,17470 N Pacesetter Way, Scottsdale, AZ 85255 (Physical)

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