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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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SQUIRES, RONALD ANDREW
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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: |
LIFESHARE NETWORK
4705 NORTHWEST EXPRESSWAY
OKLAHOMA CITY OK 73132
Address last updated on 6/17/2024 |
| Phone #: |
(405) 840-5551 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
16584 |
| Dated: |
7/1/1988 |
| Expires: |
7/1/2025 |
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Training
Issued:
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9/18/1987 |
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Training
Expires:
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9/30/1988 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery
Transplant Surgery
Surgical Oncology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108 |
| Graduated: |
5 /
1987 |
| 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 |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
BlueLincs HMO
Preferred Community Choice |
| Hospital Privileges: |
None listed |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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JAMES ETHERIDGE
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APRN |
107513 |
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