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NPI Code Detail

MEDICARE: WILLIAM CHRISTOPHER MCQUILLEN

MEDICARE:   WILLIAM CHRISTOPHER MCQUILLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1497017453
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CHRISTOPHER MCQUILLEN
Provider Business Mailing Address
First Line : 9440 VISCOUNT BLVD STE 210
Second Line :
City : EL PASO
State : TX
Zip : 79925-7054
Country : US
Telephone Number : 915-599-8900
Fax Number : 915-599-8604
Provider Business Practice Location Address
First Line : 9440 VISCOUNT BLVD STE 210
Second Line :
City : EL PASO
State : TX
Zip : 79925-7054
Country : US
Telephone Number : 915-599-8900
Fax Number : 915-599-8604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 06/14/2012

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Directions to “ WILLIAM CHRISTOPHER MCQUILLEN ” Practice Location

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