Healthcare Provider Details

I. General information

NPI: 1467546176
Provider Name (Legal Business Name): DONALD MURRAY QUIVER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 EAST MONROE
MCALESTER OK
74501
US

IV. Provider business mailing address

1605 EAST SEMINOLE
MCALESTER OK
74501
US

V. Phone/Fax

Practice location:
  • Phone: 918-426-7800
  • Fax: 918-426-5526
Mailing address:
  • Phone: 918-420-5863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19293
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: