Individual
DR. RICHARD DALE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15TH MEDICAL GROUP, HICKAM AFB, HONOLULU, HI 96853
(925) 765-0873
Mailing address
91-1042 AAWA DR, EWA BEACH, HI 96706-3900
(925) 765-0873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G077257
CA
207Q00000X
Family Medicine Physician
Primary
MD-10029
HI
Other
Enumeration date
01/21/2006
Last updated
12/06/2023
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