Individual
EDWARD QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 KENSINGTON AVE, SUITE 20, MISSOULA, MT 59801-5769
(406) 728-6559
Mailing address
715 KENSINGTON AVE, SUITE 20, MISSOULA, MT 59801-5769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4519
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042848
—
MT
Enumeration date
08/31/2006
Last updated
07/08/2007
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