Organization
EDWARD J. QUINN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J. QUINN M.D. (OWNER)
(928) 855-5090
Entity
Organization
Contact information
Practice address
99 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5713
(928) 855-5090
Mailing address
99 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5713
(928) 855-5090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31681
AZ
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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