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Next Update: Wednesday, December 25, 2024 2:50 AM CST
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DAVIS, MERLE LESLIE
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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.
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Practice Address: |
3315 KETHLEY ROAD
SHAWNEE OK 74804-1739
Address last updated on 4/4/2018 |
Phone #: |
(405) 273-5801 |
Fax #: |
(405) 395-5922 |
County: |
POTTAWATOMIE |
License: |
10230 |
Dated: |
6/30/1974 |
Expires: |
1/30/2021 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
/
1973 |
CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
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New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc |
Hospital Privileges: |
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
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Locations: |
Hours: |
Languages: |
3315 KETHLEY ROAD
SHAWNEE OK 74804-1739
Phone #:
(405) 273-5801
Fax #:
(405) 395-5922 |
Mon: 3:00AM - 3:00PM Tue: 3:00AM - 3:00PM Wed: 3:00AM - 3:00PM Thu: 3:00AM - 3:00PM Fri: Sat: Sun: |
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