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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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TWIDALE, NICHOLAS
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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: |
1701 WEST AVENUE A
ELK CITY OK 73644
Address last updated on 1/2/2023 |
| Phone #: |
(580) 225-6220 |
| Fax #: |
(580) 225-6399 |
| County: |
BECKHAM |
| License: |
17189 |
| Dated: |
3/6/1990 |
| Expires: |
3/1/2025 |
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Training
Issued:
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7/27/1989 |
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Training
Expires:
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2/28/1990 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
The Flinders Univ Of So Australia, Sch Of Med, Bedford Park, Sa |
| Graduated: |
12 /
1980 |
| CME Year: |
2025 |
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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: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Great Plains Regional Medical Center
Elk City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
1701 WEST AVENUE A
ELK CITY OK 73644
Phone #:
(580) 225-6220
Fax #:
(580) 225-6399 |
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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