Provider Demographics
NPI:1891776787
Name:QUINT, ALAN STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:STEVEN
Last Name:QUINT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17 2ND ST E
Mailing Address - Street 2:SUITE 206
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6107
Mailing Address - Country:US
Mailing Address - Phone:406-755-3148
Mailing Address - Fax:406-755-3499
Practice Address - Street 1:17 2ND ST E
Practice Address - Street 2:SUITE 206
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6107
Practice Address - Country:US
Practice Address - Phone:406-755-3148
Practice Address - Fax:406-755-3499
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2016-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT37712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000056069Medicaid
MT0000056069Medicaid