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WOODALL, MARTIN ANTHONY
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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.
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Practice Address: |
3330 NW 56TH ST #300
OKLAHOMA CITY OK 73112-4479
Address last updated on 8/27/2007 |
Phone #: |
(405) 945-5260 |
Fax #: |
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County: |
OKLAHOMA |
License: |
12883 |
Dated: |
9/25/1980 |
Expires: |
9/1/2008 |
License Type: |
Medical Doctor |
Specialty: |
Pediatrics |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163 |
Graduated: |
3 /
1960 |
CME Year: |
2009 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF PEDIATRICS |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
Hospital Privileges: |
None listed |
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