Individual ProviderEric DuquellaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104(602) 249-4750PECOS EnrollmentBased on the most recent information from CMS, provider Eric Duquella does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225019896Provider TypeIndividualFull NameDuquella, EricCredentialM.D.GenderMaleEnumeration Date11/9/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104Phone(602) 249-4750Fax(602) 249-4814Mailing LocationMailing Address6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104Phone(602) 249-4750Fax(602) 249-4814Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense30719Arizona