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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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BROADIE, LARRY LEWIS       
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: VALLEY VIEW REGIONAL HSP
430 MONTA VISTA
ADA OK 74820-0140
Phone #: (580) 421-1120
Fax #: (580) 436-6647
County: PONTOTOC
License: 12218
Dated: 7/2/1979
Expires: 1/11/2007
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1978
CME Year: 2009
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
03/27/1998
09/11/1997
01/09/1997
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:
VALLEY VIEW REGIONAL HSP
430 MONTA VISTA
ADA OK 74820-0140

Phone #: (580) 421-1120
Fax #: (580) 436-6647

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