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MONTGOMERY, GENE CRAIG       
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: 2950 SOUTH ELM PLACE
SUITE 405
BROKEN ARROW OK 74012
Phone #:
Fax #:
County: TULSA
License: 18359
Dated: 3/22/1993
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: 5 / 1984
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: AMERICAN BOARD OF PHYSICAL MEDICINE/REHABILITATION
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2950 SOUTH ELM PLACE
SUITE 405
BROKEN ARROW OK 74012

Phone #:
Fax #:

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