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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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MATHEWS, THEODORE STEPHEN       
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: USAF ACADEMY HOSPITAL
USAF ACADAMY CO 80840
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16795
Dated: 2/9/1989
Expires: 12/31/1992
License Type: Medical Doctor
Specialty: General Surgery
Aerospace Medicine
Status: Inactive
Status Class: Deceased
Restricted to: CONTRACTUAL AGREEMENT WITH DOD
Registered to Dispense: NO
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 6 / 1965
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
USAF ACADEMY HOSPITAL
USAF ACADAMY CO 80840

Phone #:
Fax #:

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