Quarry State Inpatient Services, Llc

NPI 1326384892 - Physician Assistant - 363A00000X

NPI Details
NPI 1326384892
Enumeration Date 01/02/2013
Last Updated 01/02/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RUSSELL RUSSELL
Position VICE PRESIDENT
Phone (603) 432-1500
Fax
Practice Location
1 PARKLAND DR
DERRY NH, 03038-2746, US
Phone (603) 432-1500
Fax
Business Location
18167 US HIGHWAY 19 N
SUITE#650
CLEARWATER FL, 33764-3528, US
Phone (800) 507-8874
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Quarry State Inpatient Services, Llc NPI is 1326384892, taxonomy code is 363A00000X Quarry State Inpatient Services, Llc physically located at 1 Parkland Dr, Derry NH, 03038-2746. NPI Number 1033115704 has the healthcare provider type.

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1326384892 NPI number is provided on an as is basis without warranty of any kind. 1326384892 is maintained by the National Plan & Provider Enumeration System. The contents of Quarry State Inpatient Services, Llc are for informational purposes only.