Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35063544 | OH |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35063544 | OH |
NPI | 1871696674 |
---|---|
Provider Name | William Quirk |
First Address | Youngstown, OH 44515-2366 |
Second Address | Youngstown, OH 44515-2366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 15/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2107026 | (05) | OH |
F63682 | (02) | OH |