Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 0163 | AZ |
N | 222Z00000X | Podiatrist | 0163 | AZ |
N | 213EP1101X | Primary Podiatric Medicine | 0163 | AZ |
N | 111NR0200X | Radiology | 0163 | AZ |
N | 213ER0200X | Radiology | 0163 | AZ |
Y | 213ES0103X | Foot & Ankle Surgery | 0163 | AZ |
N | 213ES0131X | Foot Surgery | 0163 | AZ |
NPI | 1174539530 |
---|---|
Provider Name | Dr. Richard Quint |
First Address | Tucson, AZ 85713-6047 |
Second Address | Tucson, AZ 85713-6047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154990XX | PREFERRED HEALTH NETWORK (01) | AZ |
1Z2388 | HEALTHNET (01) | AZ |
4648739 | AETNA (01) | AZ |
480022810 | MEDICARE RRB (01) | AZ |
700311 | (05) | AZ |
700311 | HEALTH CHOICE (01) | AZ |
700311 | MERCYCARE (01) | AZ |
700311001 | AP/IPA (01) | AZ |
70031101 | ARIZONA PHYSICIANS IPA (01) | AZ |
AZ0065030 | BLUE CROSS BLUE SHIELD (01) | AZ |
AZ0065030 | SSA (01) | AZ |
T42055 | (02) | AZ |