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FOWLER, TODD ALAN       
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: EASTERN OKLA ORTHOPEDIC CENTER
WILLIAM MEDICAL BLDG STE500
6585 SOUTH YALE AVENUE
TULSA OK 74136
Phone #:
Fax #:
County: TULSA
License: 17323
Dated: 7/1/1990
Expires: 6/30/1993
Training Issued: 6/22/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 1989
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EASTERN OKLA ORTHOPEDIC CENTER
WILLIAM MEDICAL BLDG STE500
6585 SOUTH YALE AVENUE
TULSA OK 74136

Phone #:
Fax #:

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