Individual
HEATHER E QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 E INDIANA AVE, SPOKANE, WA 99207-2313
(866) 904-7721
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 244-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9177
ID
207Q00000X
Family Medicine Physician
MD60053286
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148568
BLUE SHIELD
ID
01
—
72389
BLUE CROSS
ID
05
—
806997000
—
ID
Enumeration date
05/20/2006
Last updated
02/25/2025
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