Basic Information
| Provider Information | |||||||||
| NPI: | 1154368413 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QUARANTO | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1513 UNION AVE STE 1700 | ||||||||
| Address2: | |||||||||
| City: | MOBERLY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 652709407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6602692926 | ||||||||
| FaxNumber: | 6602692943 | ||||||||
| Practice Location | |||||||||
| Address1: | 106 BUTLER ST | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | MO | ||||||||
| PostalCode: | 635521629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6603853118 | ||||||||
| FaxNumber: | 6603854271 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | DO32287 | MO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.