Provider Demographics
NPI:1093100349
Name:ORB, QUINN TAYLOR (MD)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:TAYLOR
Last Name:ORB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 N MEDICAL DR
Mailing Address - Street 2:SOM 3C-120
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-7514
Mailing Address - Fax:801-585-5744
Practice Address - Street 1:50 N MEDICAL DR
Practice Address - Street 2:SOM 3C-120
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-7514
Practice Address - Fax:801-585-5744
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2021-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT1018454-1205207Y00000X, 207YX0007X
UT1018454-8905207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology