Individual
QUINN DAVID ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Mailing address
4770 W CARLA VISTA DR, CHANDLER, AZ 85226-2915
(602) 568-2418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007192
CO
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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