NPI | 1639210438 |
---|---|
Doing Business As | QUINCY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-02-12 |
Last Update Date | 2023-03-21 |