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NPI Code Detail

MEDICARE: QUIGLEY FAMILY MEDICAL, LLC

MEDICARE: QUIGLEY FAMILY MEDICAL, LLC
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
1363LF0000XFamily Nurse PractitionerAP4985AZ
2261QP2300XPrimary Care Clinic/CenterAP4985AZ

General Provider Information

NPI Number : 1942607296
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUIGLEY FAMILY MEDICAL, LLC
Provider Business Mailing Address
First Line : 3055 N RED MTN
Second Line : 101
City : MESA
State : AZ
Zip : 85207-1002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 S IRONWOOD DR
Second Line : 104
City : APACHE JUNCTION
State : AZ
Zip : 85120-6242
Country : US
Telephone Number : 480-982-1265
Fax Number :
Authorized Official
Title or Position : PROVIDER/OWNER
Name : GERARD QUIGLEY
Credential : FNP-C
Telephone Number : 480-347-6474
Provider Enumeration Date : 12/02/2014
Last Update Date : 04/05/2015

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Directions to “QUIGLEY FAMILY MEDICAL, LLC ” Practice Location

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