Individual
KATARINA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 6TH ST SW, RADIOLOGY ASSOCIATES OF CANTON, INC, CANTON, OH 44710-1702
(330) 363-2842
(330) 580-5536
Mailing address
P.O. BOX 72384, RADIOLOGY ASSOCIATES OF CANTON, INC., CLEVELAND, OH 44192
(888) 686-1837
(330) 686-5928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50 00 1130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00702540
RAILROAD MEDICARE
OH
Enumeration date
12/14/2005
Last updated
11/08/2010
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