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NPI Code Detail

MEDICARE: DR. ROBBY ANN QUINTOS MD

MEDICARE:  DR. ROBBY ANN  QUINTOS  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
1207R00000XInternal Medicine Physician12437NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112437OTHERNVMEDICAL LICENSE

General Provider Information

NPI Number : 1417084542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBBY ANN QUINTOS MD
Provider Business Mailing Address
First Line : 2855 S BRONCO ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5207
Country : US
Telephone Number : 888-499-9273
Fax Number : 702-926-9658
Provider Business Practice Location Address
First Line : 2855 S BRONCO ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5207
Country : US
Telephone Number : 888-499-9273
Fax Number : 702-926-9658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 10/12/2020

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Directions to “ DR. ROBBY ANN QUINTOS MD” Practice Location

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