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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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BROADWAY, ERIC STARK
|
| Practice Address: |
HEALTH & WELLNESS CENTER
1505 EAST MAIN
STIGLER OK 74462-2804
Address last updated on 5/10/2024 |
| Phone #: |
(918) 967-3368 x2216 |
| Fax #: |
(918) 967-4582 |
| County: |
HASKELL |
| License: |
16956 |
| Dated: |
7/1/1989 |
| Expires: |
7/1/2025 |
|
Training
Issued:
|
6/13/1988 |
|
Training
Expires:
|
9/30/1989 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1988 |
| CME Year: |
2027 |
|
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Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 9/17/2014 |
Probation Ended |
|
|
| 1/14/2010 |
Modification Order |
|
|
| 9/17/2009 |
Probation |
|
|
| 4/15/2009 |
Complaint Citation |
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|
Board Filings and/or Orders:
01/14/2010
09/17/2009
04/15/2009
04/15/2009
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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: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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