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BUSH, STEPHEN MICHAEL       
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: 225 PHYSICIANS PARK - SUITE 204
POPLAR BLUFF MO 63901

Address last updated on 8/4/2011
Phone #: (573) 785-3900
Fax #: (573) 776-6296
County: NOT OKLAHOMA
License: 12920
Dated: 10/1/1980
Expires: 10/1/2012
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 1973
CME Year: 2012
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
225 PHYSICIANS PARK - SUITE 204
POPLAR BLUFF MO 63901

Phone #: (573) 785-3900
Fax #: (573) 776-6296
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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