Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 0401415056 | VA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 0438000361 | VA |
NPI | 1306958582 |
---|---|
Provider Name | Dr. Aaron Eugene Quitmeyer |
First Address | Rockingham, VA 22801 |
Second Address | Rockingham, VA 22801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 16/07/2019 |