Most Relevant Information
Provider Data
| NPI Number: | 1003031279 |
| Provider Name: | MARK THOMAS QUINTANA LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MA00010444 |
Most Important Dates
| Enumeration Date: | 04/14/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
10212 5TH AVE NE
SUITE #116
SEATTLE
WA
981257452
Practice Location Phone/Fax
| Phone: | 2065254325 |
| Fax: | 2065253775 |
Provider Mailing Location
10212 5TH AVE NE
SUITE #116
SEATTLE
WA
981257452
Provider Mailing Phone/Fax
| Phone: | 2065254325 |
| Fax: | 2065253775 |