Provider Demographics
NPI:1386652972
Name:QUIGLESS, MILTON DOUGLAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:DOUGLAS
Last Name:QUIGLESS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:900 WASHINGTON RD
Mailing Address - Street 2:CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996-1109
Mailing Address - Country:US
Mailing Address - Phone:845-938-3470
Mailing Address - Fax:845-938-6660
Practice Address - Street 1:900 WASHINGTON RD
Practice Address - Street 2:CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996-1109
Practice Address - Country:US
Practice Address - Phone:845-938-3470
Practice Address - Fax:845-938-6660
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC22432175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath