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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MEGGO QUIROZ, LUIS DAVID       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1265 S. UTICA AVE
TULSA OK 74104

Address last updated on 8/6/2024
Phone #: (918) 592-0999
Fax #: (918) 592-1021
County: TULSA
License: 35562
Dated: 9/1/2020
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Cardiovascular Disease
Other Specialty
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduated: 5 / 2011
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
1265 S. UTICA AVE
TULSA OK 74104

Phone #: (918) 592-0999
Fax #: (918) 592-1021
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PAVEL BUZADZHI APRN 106598
DEBORAH CRAWFORD APRN 35228
STEPHANIE SHORT APRN 7269
KAYLA MARIE WEBSTER PA 2928

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