Provider Demographics
NPI:1063471837
Name:QUIGLEY, TERENCE M (MD)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:M
Last Name:QUIGLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:720 OLIVE WAY
Mailing Address - Street 2:SUITE 1505
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1878
Mailing Address - Country:US
Mailing Address - Phone:206-838-2590
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-363-2882
Practice Address - Fax:206-363-4172
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2010-06-18
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Provider Licenses
StateLicense IDTaxonomies
WAMD00025499208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB34786Medicare ID - Type Unspecified
WAA06476Medicare UPIN