# QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
- **Other names:** QUINCY MEDICAL GROUP CANTON AFFILIATE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902870439
- **Legal business name:** QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
- **Authorized official:** DR. DAN EVANS (CEO)
- **Authorized official phone:** (217) 222-6550

## Contact information

- **Practice address:** 1100 E OUTER RD S STE 4, CANTON, MO 63435-1702
- **Practice address phone:** (573) 288-5949
- **Practice address fax:** (573) 288-5755
- **Mailing address:** 1025 MAINE ST, QUINCY, IL 62301-4038
- **Mailing address phone:** (217) 222-6550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2006
- **Last updated:** 12/20/2021