Organization
QUINLAN EYE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY H QUINLAN D.O. (OWNER)
(620) 223-0200
Entity
Organization
Contact information
Practice address
916 HIGHWAY 69, FORT SCOTT, KS 66701-8885
(620) 223-0200
(620) 224-3029
Mailing address
916 HIGHWAY 69, FORT SCOTT, KS 66701-8885
(620) 223-0200
(620) 224-3029
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230230E
—
KS
05
—
504480401
—
MO
01
—
DH0919
RR MEDICARE
KS
Enumeration date
11/07/2007
Last updated
08/29/2012
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