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Oklahoma Board of Medical Licensure and Supervision

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HEWETT, ARCHIE LAVERN       
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: 600 S 14TH
FORT SMITH AR 72901

Address last updated on 7/17/2007
Phone #: (479) 785-2604
Fax #: (479) 785-2694
County: NOT OKLAHOMA
License: 12496
Dated: 9/25/1979
Expires: 9/1/2009
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 6 / 1955
CME Year: 2009
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
Humana ChoiceCare
PHCS (Private Healthcare Systems)
Prudential Health Care Plan, Inc
Railroad Medicare
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
600 S 14TH
FORT SMITH AR 72901

Phone #: (479) 785-2604
Fax #: (479) 785-2694

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