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NPI 1962060327

NPI 1962060327 : PARKER LYONS QUIMBY MD : COEUR D ALENE, ID

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General NPI Number Information
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    NPI Number           |    1962060327
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    Entity Type          |    Individual 
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    Provider Name        |    PARKER LYONS QUIMBY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2019
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    Last Update Date     |    08/03/2025
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Provider Practice Location Address
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    Address Line         |    700 W IRONWOOD DR STE 175 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83814-4401
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    Country              |    US
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    Telephone            |    208-625-6300
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    Fax                  |    208-625-6301
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Provider Business Mailing Address
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    Address Line         |    700 W IRONWOOD DR STE 175 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83814-4401
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    Country              |    US
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    Telephone            |    208-625-6309
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    Fax                  |    208-625-6310
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    2961371
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    233948
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    License Number State |    AK
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    233948
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    License Number State |    AK
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    2961371
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    License Number State |    ID
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