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LANGE, JOHN 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: SPARKS UROLOGY GROUP
5500 ELLSWORTH ROAD
FORT SMITH AR 72903

Address last updated on 11/3/2014
Phone #: (479) 709-7295
Fax #: (479) 424-1369
County: NOT OKLAHOMA
License: 12057
Dated: 11/15/1978
Expires: 11/1/2018
License Type: Medical Doctor
Specialty: Urology
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: 6 / 1975
CME Year: 2020
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
SPARKS UROLOGY GROUP
5500 ELLSWORTH ROAD
FORT SMITH AR 72903

Phone #: (479) 709-7295
Fax #: (479) 424-1369
Mon: 8:30AM - 5:30PM SURGERY
Tue: 8:30AM - 5:30PM
Wed: 8:30AM - 5:30PM SURGERY
Thu: 8:30AM - 5:30PM
Fri: 8:30AM - 5:30PM
Sat:
Sun: 8:30AM - 5:30PM

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