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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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SURBECK, WILLIAM LAWRENCE II
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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: |
4812 S. 109TH. E. AVE.
SUITE 200
TULSA OK 74146
Address last updated on 5/20/2024 |
| Phone #: |
(918) 236-4567 |
| Fax #: |
(918) 236-4578 |
| County: |
TULSA |
| License: |
16971 |
| Dated: |
7/1/1989 |
| Expires: |
7/1/2025 |
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Training
Issued:
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6/20/1988 |
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Training
Expires:
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9/30/1989 |
| License Type: |
Medical Doctor |
| Specialty: |
Rheumatology
Internal Medicine |
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| 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: |
5 /
1988 |
| 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 INTERNAL MEDICINE - Rheumatology |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare Options PPO |
| Hospital Privileges: |
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
St. Francis Hospital
Tulsa, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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MINDY DIANE EWERT
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PA |
2666 |
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