Individual
EDWARD J QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5735
(928) 855-5090
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31681
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847288
—
AZ
Enumeration date
07/28/2005
Last updated
05/13/2020
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