Organization
THE LOVELAND YOUTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL QUINTANA M.D (MEDICAL DOCTOR)
(970) 669-3298
Entity
Organization
Contact information
Practice address
2021 BOISE AVE, LOVELAND, CO 80538-5037
(970) 669-3298
(970) 669-6244
Mailing address
2021 BOISE AVE, LOVELAND, CO 80538-5037
(970) 669-3298
(970) 669-6244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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