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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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SHELLABARGER, PAUL ANTHONY       
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: 31700 SOUTH 600 ROAD
GROVE OK 74344

Address last updated on 7/25/2020
Phone #: (918) 850-5728
Fax #:
County: DELAWARE
License: 10044
Dated: 8/4/1973
Expires: 6/11/2021
License Type: Medical Doctor
Specialty: General Surgery
Emergency Medicine
Urgent Care Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 6 / 1972
CME Year: 2021
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 SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
31700 SOUTH 600 ROAD
GROVE OK 74344

Phone #: (918) 850-5728
Fax #:

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