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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DAVIS, GARY RANDOLPH
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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: |
205 E PINE
TULSA OK 74106-4855
Address last updated on 7/20/2005 |
| Phone #: |
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| Fax #: |
(918) 584-4457 |
| County: |
TULSA |
| License: |
14589 |
| Dated: |
1/14/1984 |
| Expires: |
1/1/2002 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Dartmouth Med, Hanover Nh 03755 |
| Graduated: |
6 /
1977 |
| CME Year: |
2004 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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Board Filings and/or Orders:
09/10/1987
09/05/1986
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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 FAMILY MEDICINE |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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