Provider Demographics
NPI:1144405051
Name:QUINN, SCOTT ALAN (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALAN
Last Name:QUINN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N GILBERT RD STE 309
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-4627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:610 N GILBERT RD STE 309
Practice Address - Street 2:STE. 107
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4627
Practice Address - Country:US
Practice Address - Phone:480-926-1111
Practice Address - Fax:480-926-2958
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor