Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A32940 | CA |
NPI | 1427095439 |
---|---|
Provider Name | Malachi Edward Quigley |
First Address | San Diego, CA 92121-2121 |
Second Address | San Diego, CA 92121-2121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 14/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
330627190 | FEDERAL TAX ID (01) | CA |
A26978 | (02) |