Healthcare Provider Details

I. General information

NPI: 1013193945
Provider Name (Legal Business Name): ALAN S QUINT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 2ND ST E
KALISPELL MT
59901-6108
US

IV. Provider business mailing address

33 2ND ST E
KALISPELL MT
59901-6108
US

V. Phone/Fax

Practice location:
  • Phone: 406-755-3148
  • Fax: 406-755-3499
Mailing address:
  • Phone: 406-755-3148
  • Fax: 406-755-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMT3771
License Number StateMT

VIII. Authorized Official

Name: ALAN S QUINT
Title or Position: PRESIDENT
Credential: MD
Phone: 406-755-3148