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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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PHAN, PHUC       
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: NORCE
2600 E. WILLOW
ENID OK 73701-8715

Address last updated on 8/13/2001
Phone #: (580) 213-2700
Fax #:
County: GARFIELD
License: 14547
Dated: 10/29/1983
Expires: 10/1/2003
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: FAC MIXTE DE MED ET DE PHARM UNIV DE SAIGON, SAIGON, S VIETNAM
Graduated: 8 / 1971
CME Year: 2003
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: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NORCE
2600 E. WILLOW
ENID OK 73701-8715

Phone #: (580) 213-2700
Fax #:

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