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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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GREEN, GLORIA NAVARRO BLANTON       
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: 6001 CRESTVIEW DR.
OKLAHOMA CITY OK 73105-1653
Phone #:
Fax #:
County: OKLAHOMA
License: 13046
Dated: 5/5/1981
Expires: 5/1/2000
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduated: 6 / 1949
CME Year: 2001
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 PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
6001 CRESTVIEW DR.
OKLAHOMA CITY OK 73105-1653

Phone #:
Fax #:

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