Provider Demographics
NPI:1962675264
Name:QUINTANA, JAMIE JO (DO)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:JO
Last Name:QUINTANA
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 1:1500 DELHI ST
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6321
Mailing Address - Country:US
Mailing Address - Phone:563-557-5911
Mailing Address - Fax:563-557-5910
Practice Address - Street 1:1500 DELHI ST
Practice Address - Street 2:SUITE 3500
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6321
Practice Address - Country:US
Practice Address - Phone:563-557-5911
Practice Address - Fax:563-557-5910
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2005018554208000000X
IA4105208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics