MEDICARE: DR. AARON QUINN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	01012379125	VA

General Provider Information

NPI Number	:	1154351492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON QUINN MD

Provider Business Mailing Address
First Line	:	1772 ROCKY BRANCH DR
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-3938
Country	:	US
Telephone Number	:	434-209-7209
Fax Number	:

Provider Business Practice Location Address
First Line	:	1772 ROCKY BRANCH DR
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-3938
Country	:	US
Telephone Number	:	434-209-7209
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/09/2020

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