Individual
MR. DARRELL RAYMOND QUIRK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6611
(405) 235-5671
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
133157
OK
Other
Enumeration date
06/30/2022
Last updated
11/06/2023
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