Tony Dale Quinton, DPM | |
3200 Channing Way Ste 206, Idaho Falls, ID 83404-7546 | |
(208) 529-2230 | |
(208) 453-6142 |
Full Name | Tony Dale Quinton |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 3200 Channing Way Ste 206, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639157621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | P-186 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steele Lake Specialty Pllc | 1153774567 | 8 |
Provider Name | Steele Lake Specialty Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215716998 PECOS PAC ID: 1153774567 Enrollment ID: O20240201000040 |
Mailing Address | Practice Location Address |
---|---|
Tony Dale Quinton, DPM Po Box 277381, Atlanta, GA 30384-7381 Ph: () - | Tony Dale Quinton, DPM 3200 Channing Way Ste 206, Idaho Falls, ID 83404-7546 Ph: (208) 529-2230 |
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