Provider Demographics
NPI:1174539530
Name:QUINT, RICHARD (DPM)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:QUINT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:ARIZONA
Other - Middle Name:FOOT
Other - Last Name:SPECIALISTS, LTD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:697 W AJO WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6047
Mailing Address - Country:US
Mailing Address - Phone:520-746-0186
Mailing Address - Fax:520-746-0278
Practice Address - Street 1:697 W AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6047
Practice Address - Country:US
Practice Address - Phone:520-746-0186
Practice Address - Fax:520-746-0278
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0163213E00000X, 213EP1101X, 213ER0200X, 213ES0131X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0065030OtherBLUE CROSS BLUE SHIELD
AZ4648739OtherAETNA
AZAZ0065030OtherSSA
AZ700311Medicaid
AZ70031101OtherARIZONA PHYSICIANS IPA
AZ480022810OtherMEDICARE RRB
AZ700311OtherMERCYCARE
AZ700311001OtherAP/IPA
AZ154990XXOtherPREFERRED HEALTH NETWORK
AZ1Z2388OtherHEALTHNET
AZ700311OtherHEALTH CHOICE
AZZ48WCHRV02Medicare PIN
AZAZ0065030OtherSSA
AZ700311OtherMERCYCARE