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Oklahoma Board of Medical Licensure and Supervision

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DAVIS, MERLE LESLIE       
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: 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
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: / 1973
CME Year: 2022
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:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
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
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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