Provider Demographics
NPI:1295822294
Name:GEE, QUINN (MD)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:
Last Name:GEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:QUN
Other - Middle Name:
Other - Last Name:GE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7096
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95267-0096
Mailing Address - Country:US
Mailing Address - Phone:209-956-7725
Mailing Address - Fax:209-956-7733
Practice Address - Street 1:400 W. MINERAL KING AVENUE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291
Practice Address - Country:US
Practice Address - Phone:559-624-5049
Practice Address - Fax:559-635-6272
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND9134207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND12000Medicaid
CAP00703045Medicare PIN
CABP294ZMedicare PIN
H66985Medicare UPIN
CACB246085Medicare PIN