Provider Demographics
NPI:1790877330
Name:QUINCY, CHERI (DO)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:
Last Name:QUINCY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2448 GUERNEVILLE RD
Mailing Address - Street 2:SUITE #400
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-4175
Mailing Address - Country:US
Mailing Address - Phone:707-542-4800
Mailing Address - Fax:707-542-0700
Practice Address - Street 1:2448 GUERNEVILLE RD
Practice Address - Street 2:SUITE #400
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-4175
Practice Address - Country:US
Practice Address - Phone:707-542-4800
Practice Address - Fax:707-542-0700
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine