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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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BIRDWELL, BRIAN GILLAM
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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: |
415 W GORE BLVD
LAWTON OK 73501-3710
Address last updated on 6/17/2023 |
| Phone #: |
(580) 248-9966 |
| Fax #: |
(580) 248-6458 |
| County: |
COMANCHE |
| License: |
13900 |
| Dated: |
7/27/1982 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Occupational Medicine
Vascular Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1981 |
| CME Year: |
2027 |
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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 INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Southwestern Medical Center
Lawton, OK
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| Locations: |
Hours: |
Languages: |
415 W GORE BLVD
LAWTON OK 73501-3710
Phone #:
(580) 248-9966
Fax #:
(580) 248-6458 |
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 12:00PM
Sat: CLOSED
Sun: 8:00AM - 4:00PM CLOSED |
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