Individual
DR. QUINT DI GIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
112 W HILL AVE, GALLUP, NM 87301-6218
(505) 722-2289
(505) 726-6208
Mailing address
10025 E DYNAMITE BLVD STE 115, SCOTTSDALE, AZ 85262-3688
(480) 419-7778
(480) 419-7779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
01246
AZ
152W00000X
Optometrist
Primary
OP2281
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P0516
—
NM
Enumeration date
03/19/2007
Last updated
03/01/2011
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