Provider Demographics
NPI:1124196738
Name:QUIRING, ROGER S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:S
Last Name:QUIRING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 880618
Mailing Address - Street 2:1500 U ST UNIVERSITY HEALTH CENTER
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588-0618
Mailing Address - Country:US
Mailing Address - Phone:402-472-5000
Mailing Address - Fax:402-472-4593
Practice Address - Street 1:1500 U ST
Practice Address - Street 2:UNIVERSITY HEALTH CENTER
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0618
Practice Address - Country:US
Practice Address - Phone:402-472-5000
Practice Address - Fax:402-472-4593
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE18330207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025121400Medicaid
278235Medicare ID - Type Unspecified
NE10025121400Medicaid