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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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BOLES, ROBERT DAVID       
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: ROBERT DAVID BOLES MD
1425 EAST LINCOLN ROAD
SUITE A-6
IDABEL OK 74745

Address last updated on 12/3/2004
Phone #: (580) 286-2947
Fax #: (580) 286-8287
County: MCCURTAIN
License: 15526
Dated: 9/28/1985
Expires: 10/26/2005
License Type: Medical Doctor
Specialty: General Surgery
Vascular Surgery
Status: Inactive
Status Class: Deceased
Restricted to: written agreement with conditions
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 6 / 1974
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
Board Filings and/or Orders:
06/03/2004
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ROBERT DAVID BOLES MD
1425 EAST LINCOLN ROAD
SUITE A-6
IDABEL OK 74745

Phone #: (580) 286-2947
Fax #: (580) 286-8287

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