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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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POOLAW, BRYCE MONROE       
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: ANADARKO INDIAN HEALTH CENTER
115 OLD TOWN ROAD
ANADARKO OK 73005

Address last updated on 10/30/2012
Phone #: (405) 247-2458
Fax #:
County: CADDO
License: 11476
Dated: 9/15/1977
Expires: 9/1/2013
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Dartmouth Med, Hanover Nh 03755
Graduated: / 1976
CME Year: 2015
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ANADARKO INDIAN HEALTH CENTER
115 OLD TOWN ROAD
ANADARKO OK 73005

Phone #: (405) 247-2458
Fax #:

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