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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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VEST, CHARLES RICHARD       
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: 1221 ARLINGTON SUITE A
ADA OK 74820

Address last updated on 6/5/2024
Phone #: (580) 436-5111
Fax #: (580) 436-1159
County: PONTOTOC
License: 10673
Dated: 8/25/1975
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 1974
CME Year: 2027
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 OTOLARYNGOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
Welcor/Sooner
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Locations: Hours: Languages:
1221 ARLINGTON SUITE A
ADA OK 74820

Phone #: (580) 436-5111
Fax #: (580) 436-1159
Mon: 9:00AM - 0:00PM
Tue: 9:00AM - 0:00PM
Wed: 9:00AM - 0:00PM
Thu: 9:00AM - 0:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERRON CODY PROCTOR PA 1410
MIKA STRONG PA 1261
PHYLLIS WALLACE APRN 35497

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