Individual
JOSEPH QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 MAIN STREET, SAN LUIS, CO 81152-2340
(719) 672-3352
(719) 672-3638
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
(719) 589-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28705
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01287051
—
CO
Enumeration date
11/10/2006
Last updated
09/06/2013
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