TEQUA MED-PEDS LLC
Medical Practice at Riverside Dr, Parker, AZ

License number
Arizona 5436
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Arizona 5436
Category
Medical Practice
Type
Pediatrics
Owner
Name: TEQUA SALEHI-RAD D.O.
Title: OWNER/MEMBER
Phone: (928) 669-5550
Address
Address 2
601 W Riverside Dr, Parker, AZ 85344
3269 Maricopa Ave SUITE 114-239, Lake Havasu City, AZ 86406
National Provider ID: 1497021679
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TEQUA MED-PEDS LLC at bizstanding.com

TEQUA MED-PEDS, LLC

Ste 114-23 STE 114-239, Lake Havasu City, AZ 86406

Registration:
Dec 17, 2010
State ID:
L-1647527-7
Expiration:
PERPETUAL
Member:
Tequa Ann Salehi-Rad (Member), Ste 114-23 STE 114-239, Lake Havasu City, AZ 86406 (Physical)

Tequa Med-Peds, LLC

3269 Maricopa Ave, Lake Havasu City, AZ 86406

Status:
Inactive
Industry:
Nonclassifiable Establishments
Osteopathy, Principal:
Tequa Ann Salehi Rad Osteopathy, Principal, inactive

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