Provider Demographics
NPI:1720384118
Name:QUINN PAULY MD PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:QUINN PAULY MD PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUINN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-851-7771
Mailing Address - Street 1:10635 PROFESSIONAL CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5849
Mailing Address - Country:US
Mailing Address - Phone:775-851-7771
Mailing Address - Fax:775-851-7731
Practice Address - Street 1:10635 PROFESSIONAL CIR
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5849
Practice Address - Country:US
Practice Address - Phone:775-851-7771
Practice Address - Fax:775-851-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty