# QUANTUM SPECIALIST NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013649441
- **Authorized official:** CAROLYN MELLETTE APN (COO)
- **Authorized official phone:** (720) 560-3083

## Contact information

- **Practice address:** 9777 S YOSEMITE ST STE 220, LONE TREE, CO 80124-3115
- **Practice address phone:** (720) 560-3083
- **Mailing address:** 9777 S YOSEMITE ST STE 220, LONE TREE, CO 80124-3115
- **Mailing address phone:** (720) 560-3083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 06/24/2022