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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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BLACKSHAW, DAVID GLENN
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Practice Address: |
4300 N LINCOLN BLVD
OKLAHOMA CITY OK 73105
Address last updated on 6/10/2024 |
Phone #: |
(405) 425-0383 |
Fax #: |
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County: |
OKLAHOMA |
License: |
16528 |
Dated: |
7/1/1988 |
Expires: |
7/1/2025 |
Training
Issued:
|
8/31/1987 |
Training
Expires:
|
9/30/1988 |
License Type: |
Medical Doctor |
Specialty: |
Addiction Medicine |
|
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: |
7 /
1987 |
CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
|
Date |
Action |
Reasons |
Remarks |
7/20/2017 |
Probation Ended |
|
|
11/6/2014 |
Modification Order |
|
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5/17/2012 |
Probation |
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3/16/2012 |
Complaint Citation |
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2/17/2012 |
Suspension, License |
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Board Filings and/or Orders:
08/09/2017
11/10/2014
05/17/2012
03/16/2012
03/16/2012
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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: |
|
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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|
HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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Locations: |
Hours: |
Languages: |
4300 N LINCOLN BLVD
OKLAHOMA CITY OK 73105
Phone #:
(405) 425-0383
Fax #:
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Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 12:00PM Sat: Sun: |
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