Organization
LOUIS J QUINTERO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS QUINTERO MD (OWNER)
(573) 302-4698
Entity
Organization
Contact information
Practice address
54 HOSPITAL DR, SUITE 201, OSAGE BEACH, MO 65065-3050
(573) 302-4698
Mailing address
54 HOSPITAL DR, SUITE 201, OSAGE BEACH, MO 65065-3050
(573) 302-4698
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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