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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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CROWSON, GLENN ALVIN       
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: 1401 W FIRST ST
WEWOKA OK 74884-1093

Address last updated on 5/4/2020
Phone #: (405) 257-3396
Fax #: (405) 257-6908
County: SEMINOLE
License: 13854
Dated: 7/1/1982
Expires: 3/11/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 5 / 1981
CME Year: 2021
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
United Healthcare Options PPO
Worknet of Oklahoma
Hospital Privileges: None listed
Locations: Hours: Languages:
1401 W FIRST ST
WEWOKA OK 74884-1093

Phone #: (405) 257-3396
Fax #: (405) 257-6908

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