Individual
J GEORGE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF NEW MEXICO, MSC 105620, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3342
Mailing address
DEPARTMENT OF NEUROLOGY, MSC 105620, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3342
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
49580
WI
2084N0400X
Neurology Physician
Primary
MD2004-0093
NM
Other
Enumeration date
09/02/2006
Last updated
06/09/2011
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