| Sq1 Medical, Inc. | |
|
165 N Luring Dr Palm Springs CA 92262-6829 | |
| (760) 286-9946 | |
| Not Available |
| Full Name | Sq1 Medical, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 165 N Luring Dr, Palm Springs, California |
| Authorized Official Name and Position | John Kenneth Gerard (OWNER) |
| Authorized Official Contact | 7602869946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sq1 Medical, Inc. 165 N Luring Dr Palm Springs CA 92262-6829 Ph: (760) 286-9946 | Sq1 Medical, Inc. 165 N Luring Dr Palm Springs CA 92262-6829 Ph: (760) 286-9946 |
| NPI Number | 1326880980 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326880980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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