MEDICARE: DR. NOEMI QUINTANAR ND

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	175F00000X	Naturopath	07-986	AZ

General Provider Information

NPI Number	:	1578776407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOEMI QUINTANAR ND

Provider Business Mailing Address
First Line	:	518 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-7425
Country	:	US
Telephone Number	:	520-884-0872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 N TUCSON BLVD STE 37
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3410
Country	:	US
Telephone Number	:	520-322-8122
Fax Number	:	520-323-1741

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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