Individual
MICHAEL JOHN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W. WILLIAMS WAY, MOAB, UT 84532
(435) 719-3500
Mailing address
450 W. WILLIAMS WAY, MOAB, UT 84532
(435) 719-3500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8819465-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072717
—
IL
01
—
04915144
BCBS OF ILLINOIS
IN
Enumeration date
11/02/2005
Last updated
12/10/2013
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