Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C36689 | CA |
N | 2080P0214X | Pediatric Pulmonologist | C36689 | CA |
NPI | 1386682417 |
---|---|
Provider Name | Dr. John C. Mcquitty |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C366890 | (05) | CA |
A36340 | (02) | CA |