Organization Name: | SUZANNE M. QUARDT MD |
NPI Number: | 1073754222 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE MARIE QUARDT (DOCTOR/OWNER) |
Mailing Address: | 43-585 Monterey Ave. Suite 7 Palm Desert |
State: | CA US |
Postal Code: | 92260 |
Phone Number: | 7607736616 |
Fax Number: | 7607736618 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | A635369 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |