Mark Ralph Lonquist in Goodyear - Family Medicine

Mark Ralph Lonquist - NPI 1629064613

Mark Ralph Lonquist is a Family Medicine in Goodyear, Arizona. Mark Ralph Lonquist practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Ralph Lonquist is 1629064613. The last update date is 2019-04-18.

Mark Ralph Lonquist's current location address is 13555 W Mcdowell Rd, Goodyear, Arizona. You can contact this provider via phone number 6239251157 and fax number 6239321045. The mailing address for Mark Ralph Lonquist is 13555 W Mcdowell Rd, Goodyear, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Ralph Lonquist
Address 13555 W Mcdowell Rd, Goodyear, Arizona
Phone Number 6239251157
Fax Number 6239321045
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629064613
Provider Enumeration Date 2005-09-23
Last Updated Date 2019-04-18

Provider Mailing Address Detail

Address 13555 W Mcdowell Rd
City Goodyear
State Arizona (AZ)
Post Code 85395
Phone Number 6239251157
Fax Number 6239321045

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 22778
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
188210 AZ AHCCCS

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FAQs about Mark Ralph Lonquist

What is the unique 10-digit identifier code assigned to Mark Ralph Lonquist by the Centers for Medicare & Medicaid Services?

The Mark Ralph Lonquist has been issued the NPI (National Provider Identifier) 1629064613 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mark Ralph Lonquist's facilities are situated?

The facilities of Mark Ralph Lonquist are physically located at the following address: 13555 W Mcdowell Rd, Goodyear, AZ, 85395.

What is the Mark Ralph Lonquist's specialty and taxonomy code?

The Mark Ralph Lonquist's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When did the Mark Ralph Lonquist receive its 1629064613?

The Mark Ralph Lonquist was issued its 1629064613 on 2005-09-23, which is the date when the organization was assigned this unique identifier.

As of what date were the Mark Ralph Lonquist's details last updated?

The information pertaining to the Mark Ralph Lonquist, including its address, specialty, and other details, was most recently updated on 2019-04-18.

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