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FILLMORE, RALPH BALDWIN       
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: ANESTHESIA CONSULTANTS GROUP
1118 ROSS CLARK CR
SUITE 700
DOTHAN AL 36301-3030

Address last updated on 4/28/2011
Phone #: (334) 793-5105
Fax #: (334) 793-5073
County: NOT OKLAHOMA
License: 10040
Dated: 6/30/1973
Expires: 6/1/2015
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1972
CME Year: 2016
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
Board Filings and/or Orders:
09/11/1981
02/26/1980
01/11/1980
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
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Locations: Hours: Languages:
ANESTHESIA CONSULTANTS GROUP
1118 ROSS CLARK CR
SUITE 700
DOTHAN AL 36301-3030

Phone #: (334) 793-5105
Fax #: (334) 793-5073

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