Individual
DR. SPENCER QUINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
362
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041548
CAQH PROVIDER ID NUMBER
NV
Enumeration date
10/24/2006
Last updated
11/06/2017
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