Individual
BRIAN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 683-0800
(641) 683-0801
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(641) 683-0800
(641) 683-0801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101015800
MI
207Q00000X
Family Medicine Physician
Primary
DO-03851
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023048626
—
IA
01
—
P00469837
RR MEDICARE
IA
Enumeration date
07/03/2006
Last updated
10/16/2018
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