Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 22432 | NC |
NPI | 1386652972 |
---|---|
Provider Name | Dr. Milton Douglas Quigless JR. |
First Address | West Point, NY 10996-1109 |
Second Address | West Point, NY 10996-1109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |