Individual
QUENTEN EDWARD AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2611 S BANKER ST, EFFINGHAM, IL 62401-2980
(217) 347-3303
Mailing address
2017 S LAKE DR, VANDALIA, IL 62471-3807
(618) 792-3440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
11/26/2024
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