Basic Information
| Provider Information | |||||||||
| NPI: | 1801027081 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | QUINTON | ||||||||
| FirstName: | MAGDALENA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8846 S REDWOOD RD | ||||||||
| Address2: | STE E-121 | ||||||||
| City: | WEST JORDAN | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840889334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015691999 | ||||||||
| FaxNumber: | 8015692001 | ||||||||
| Practice Location | |||||||||
| Address1: | 8846 S REDWOOD RD | ||||||||
| Address2: | STE E-121 | ||||||||
| City: | WEST JORDAN | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840889334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015691999 | ||||||||
| FaxNumber: | 8015692001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2009 | ||||||||
| LastUpdateDate: | 11/12/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 57.016205 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 8633069-1205 | UT | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.