Individual
MR. ROSWELL QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 POTRERO AVENUE, BUILDING 25, SAN FRANCISCO, CA 94110-3518
(628) 206-8000
(415) 502-8175
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A126041
CA
208M00000X
Hospitalist Physician
Primary
A126041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24173
MEDICAL LICENSE
HI
01
—
70241-20
MEDICAL LICENSE
WI
01
—
T7829
MEDICAL LICENSE
TX
Enumeration date
04/15/2010
Last updated
02/14/2025
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