Healthcare Provider Details

I. General information

NPI: 1780724625
Provider Name (Legal Business Name): PATRICK QUIGLEY M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ROCKY MOUNTAIN AVE STE 2200
LOVELAND CO
80538-9004
US

IV. Provider business mailing address

PO BOX 340605
BEAVERCREEK OH
45434-0605
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-8450
  • Fax: 970-297-6599
Mailing address:
  • Phone: 937-367-7838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number35.070381
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberDR.0056235
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: