Quartz Mountain Medical Center Ancillary Services LLC

NPI #1841688439 in Sayre, Oklahoma

Provider Information

NPI Number: 1841688439
Entity Type: Organization
Organization Name: Quartz Mountain Medical Center Ancillary Services LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 5, 2015
Last Updated: Jan 5, 2015

Practice Location

Address: 1415 WATTS ST
City: Sayre
State: Oklahoma
ZIP Code: 73662-1310
Phone: (580) 928-2044

Authorized Official

Name: LINDSAY CRABB
Title: CHIEF EXECUTIVE OFFICER
Phone: (580) 782-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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