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IVANICS, PAUL       
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: OKLAHOMA VETERANS CENTER
TALIHINA DIVISION
RT. 2, BOX 1425
TALIHINA OK 74571

Address last updated on 12/23/1999
Phone #:
Fax #:
County: LEFLORE
License: 11120
Dated: 2/7/1977
Expires: 6/30/1987
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SEMMELWEIS MEDICAL UNIVERSITY
Graduated: / 1944
CME Year:
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA VETERANS CENTER
TALIHINA DIVISION
RT. 2, BOX 1425
TALIHINA OK 74571

Phone #:
Fax #:

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