Healthcare Provider Details

I. General information

NPI: 1295078681
Provider Name (Legal Business Name): QUINN SCOTT WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 S BRADDOCK AVE
PITTSBURGH PA
15218-1663
US

IV. Provider business mailing address

PO BOX 17991
PITTSBURGH PA
15235-7991
US

V. Phone/Fax

Practice location:
  • Phone: 412-901-1341
  • Fax:
Mailing address:
  • Phone: 412-901-1341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: