MR. Mark Ralph Lonquist, MD

NPI #1629064613 in Goodyear, Arizona

Provider Information

NPI Number: 1629064613
Entity Type: Individual
Name: MR. Mark Ralph Lonquist, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 23, 2005
Last Updated: Apr 18, 2019

Practice Location

Address: 13555 W MCDOWELL RD
Address 2: #103
City: Goodyear
State: Arizona
ZIP Code: 85395
Phone: (623) 925-1157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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