Individual
MR. MICHAEL DAVID QUINTANA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
2021 BOISE AVE, LOVELAND, CO 80538
(970) 669-3298
(970) 669-6244
Mailing address
2021 BOISE AVE, LOVELAND, CO 80538
(970) 669-3298
(970) 669-6244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21587
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215870
—
CO
Enumeration date
05/23/2006
Last updated
07/08/2007
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