Individual
JASON M QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS ROAD, SOUTH TOWER, BOISE, ID 83706
(208) 302-0800
(208) 302-0855
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-0800
(208) 302-0855
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A81055
CA
207P00000X
Emergency Medicine Physician
Primary
M-9717
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807581200
—
ID
Enumeration date
11/04/2005
Last updated
07/21/2022
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