MEDICARE: QUANTUM HEALTHCARE LLC

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	202D00000X	Integrative Medicine Physician
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1528896479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUANTUM HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1000 E BLUFF VIEW DR UNIT 80
Second Line	:
City	:	WASHINGTON
State	:	UT
Zip	:	84780-8908
Country	:	US
Telephone Number	:	773-766-7081
Fax Number	:	331-336-5644

Provider Business Practice Location Address
First Line	:	463 VONS WAY DRIVE
Second Line	:
City	:	PROVIDENCE
State	:	UT
Zip	:	84332
Country	:	US
Telephone Number	:	435-770-2828
Fax Number	:

Authorized Official
Title or Position	:	MD/CO-OWNER
Name	:	ROBERT CROSBIE
Credential	:
Telephone Number	:	435-770-2828

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	03/05/2026

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Directions to “QUANTUM HEALTHCARE LLC ” Practice Location

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