Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 01079204A | IN |
Y | 208600000X | Surgeon | 01079204A | IN |
NPI | 1013436922 |
---|---|
Provider Name | Dr. Stephen Neil Quigley |
First Address | Indianapolis, IN 46202-3139 |
Second Address | Indianapolis, IN 46202-5149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2017 |
Last Update Date | 12/09/2017 |