Organization
QUINLAN EYE SURGERY & LASER CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY H QUINLAN D.O. (PHYSICIAN/OWNER)
(620) 223-0200
Entity
Organization
Contact information
Practice address
918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
(620) 223-0200
(620) 224-3029
Mailing address
918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
(620) 223-0200
(620) 224-3029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S006001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100408980A
—
KS
05
—
505716803
—
MO
Enumeration date
09/21/2006
Last updated
12/23/2009
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