Provider Demographics
NPI:1083676027
Name:QUINN, CYNTHIA D (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:D
Last Name:QUINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 431
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-0431
Mailing Address - Country:US
Mailing Address - Phone:501-362-3479
Mailing Address - Fax:501-362-3499
Practice Address - Street 1:2225 MAIN ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543
Practice Address - Country:US
Practice Address - Phone:501-362-3479
Practice Address - Fax:501-362-3499
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR3323207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0822000OtherUNITED HEALTHCARE
18004110OtherRAILROAD MEDICARE
AR54221Medicare ID - Type Unspecified
18004110OtherRAILROAD MEDICARE
0822000OtherUNITED HEALTHCARE