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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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MAXWELL, MICHAEL KENT
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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: |
1919 SOUTH WHEELING #402
TULSA OK 74104
Address last updated on 5/4/2022 |
| Phone #: |
(918) 748-7877 |
| Fax #: |
(918) 403-6305 |
| County: |
TULSA |
| License: |
15222 |
| Dated: |
7/1/1985 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1984 |
| 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: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO
HealthChoice
PPO Oklahoma
Preferred Community Choice
United Healthcare Options PPO |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
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| Locations: |
Hours: |
Languages: |
1919 SOUTH WHEELING #402
TULSA OK 74104
Phone #:
(918) 748-7877
Fax #:
(918) 403-6305 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: CLOSED
Sun: CLOSED |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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PAULINE C. DOLTON
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PA |
882 |
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