BONDURANT, CHARLES PALMER V - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

BONDURANT, CHARLES PALMER V

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:	BROADWAY MEDICAL PLAZA 2 1605 EAST BROADWAY SUITE 100 COLUMBIA MO 65201-8023 Address last updated on 5/19/2022
Phone #:	(573) 815-8242
Fax #:	(573) 815-8245
County:	NOT OKLAHOMA
License:	16983
Dated:	7/1/1989
Expires:	7/1/2025
Training Issued:	6/29/1988
Training Expires:	9/30/1989
License Type:	Medical Doctor
Specialty:	Neurological Surgery

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:	5 / 1988
CME Year:	2027

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:	AMERICAN BOARD OF NEUROLOGICAL SURGERY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	Hospital(s) Not In Oklahoma ,

Locations:	Hours:	Languages:
BROADWAY MEDICAL PLAZA 2 1605 EAST BROADWAY SUITE 100 COLUMBIA MO 65201-8023 Phone #: (573) 815-8242 Fax #: (573) 815-8245	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

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