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Oklahoma Board of Medical Licensure and Supervision

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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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BACON, ROBERT PHELPS       
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: ST JOSEPH'S HOSPITAL
523 NORTH 3RD STREET
BRAINERD MN 56401-3098
Phone #: (218) 828-7555
Fax #:
County: NOT OKLAHOMA
License: 17013
Dated: 7/5/1989
Expires: 7/1/2004
License Type: Medical Doctor
Specialty: Internal Medicine
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Sanford Sch of Med of the Univ of SD, Vermillion, SD
Graduated: 5 / 1984
CME Year: 2006
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST JOSEPH'S HOSPITAL
523 NORTH 3RD STREET
BRAINERD MN 56401-3098

Phone #: (218) 828-7555
Fax #:

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