Individual
LIESCHEN H QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1122 NE 13TH ST, ORI 274B, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Mailing address
920 SL YOUNG BLVD, WP 2430, OKALHOMA CITY, OK 73104-4313
(405) 271-7449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D62954
MD
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
26218
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408412800
—
MD
Enumeration date
05/31/2006
Last updated
10/21/2013
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