MARK RALPH LONQUIST

GOODYEAR, AZ
NPI1629064613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  22778)
Enumeration Date2005-09-23
Last Update Date2019-04-18
Business Address
Mr. MARK RALPH LONQUIST MD
13555 W MCDOWELL RD #103
GOODYEAR, AZ 85395
Phone number: 623-925-1157
Mailing Address
Mr. MARK RALPH LONQUIST MD
3815 E BELL RD STE 2200
PHOENIX, AZ 85032-2139
Phone number: 602-633-3838