Individual
JOHN QUIMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9150 JEWEL LAKE RD, SUITE B, ANCHORAGE, AK 99502-5381
(907) 333-8561
(907) 333-8560
Mailing address
PO BOX 221221, ANCHORAGE, AK 99522-1221
(907) 561-9191
(907) 561-0097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2744
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD01603
—
AK
Enumeration date
08/29/2006
Last updated
05/29/2018
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