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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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BOOMER, WALTER MARK       
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: 6565 SOUTH YALE AVENUE
SUITE 812
TULSA OK 74136

Address last updated on 7/16/2024
Phone #: (918) 494-9288
Fax #: (918) 494-9289
County: TULSA
License: 17300
Dated: 7/1/1990
Expires: 7/1/2025
Training Issued: 6/1/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Pulmonary Disease
Internal Medicine
Critical Care Medicine (Internal Medicine)
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 / 1989
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Meadowbrook Rehabilitation Hospital of Tulsa
Tulsa, OK
Select Specialty Hospital
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
6565 SOUTH YALE AVENUE
SUITE 812
TULSA OK 74136

Phone #: (918) 494-9288
Fax #: (918) 494-9289
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 3:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAEMIE ANN ARMIGER PA 842
CONNIE JEAN HILL PA 1050
CHRISTINA HULSEY APRN 87976
ASHLEY MAHAFFEY APRN 377
LESLEY JEANINE SMITH PA 825

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