Individual
RICHARD QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 N MEDICAL CENTER DR E STE 209, CLOVIS, CA 93611-6886
(559) 325-5656
(559) 325-5568
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
G49344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G493449
MEDICAL
CA
Enumeration date
12/08/2005
Last updated
01/09/2020
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