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Next Update: Thursday, December 19, 2024 2:50 AM CST
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MANTOR, PHILIP CAMERON
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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: |
OUHSC
1200 EVERETT DRIVE
SUITE 2320
OKLAHOMA CITY OK 73104
Address last updated on 11/29/2023 |
| Phone #: |
(405) 271-5922 |
| Fax #: |
(405) 271-3278 |
| County: |
OKLAHOMA |
| License: |
16328 |
| Dated: |
9/15/1987 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatric Surgery (Surgery)
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
| Graduated: |
5 /
1986 |
| 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 SURGERY - Pediatric Surgery
AMERICAN BOARD OF SURGERY - Surgical Critical Care |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
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