Individual
ELAINE MARY QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3360
(918) 458-3511
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3360
(918) 458-3511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4398
AK
207R00000X
Internal Medicine Physician
DR-31966
CO
207R00000X
Internal Medicine Physician
Primary
MD00039236
WA
Other
Enumeration date
10/25/2006
Last updated
09/11/2025
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