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Oklahoma Board of Medical Licensure and Supervision

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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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GRANDLE, GARY BRUCE       
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: No Current Practice Address
Address last updated on 9/27/2013
Phone #: (405) 917-7590
Fax #: (405) 917-7595
County: NOT OKLAHOMA
License: 18396
Dated: 6/7/1993
Expires: 8/31/2013
Temp. Lic. Issued: 4/8/1993
Temp. Lic. Expires: 8/1/1993
License Type: Medical Doctor
Specialty: Family Medicine
GERIATRICS
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Keck Sch of Med of the USC, LOS ANGELES CA 90089
Graduated: 6 / 1970
CME Year: 2016
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 FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CommunityCare HMO, Inc
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
Great West Healthcare
Health Payors Organization (HPO)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO Oklahoma
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
No Current Practice Address
Phone #: (405) 917-7590
Fax #: (405) 917-7595

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