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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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TIDWELL, RICHARD HARVEY
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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: |
2485 N MAIN STREET
PO BOX 987
JAY OK 74346
Address last updated on 10/23/2024 |
| Phone #: |
(918) 253-2550 |
| Fax #: |
(918) 253-2122 |
| County: |
DELAWARE |
| License: |
18708 |
| Dated: |
10/25/1993 |
| Expires: |
10/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1991 |
| CME Year: |
2027 |
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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: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Grove General Hospital
Grove, OK
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| Locations: |
Hours: |
Languages: |
2485 N MAIN STREET
PO BOX 987
JAY OK 74346
Phone #:
(918) 253-2550
Fax #:
(918) 253-2122 |
Mon: 8:15AM - 5:00PM
Tue: 8:15AM - 5:00PM
Wed: 8:15AM - 5:00PM
Thu: 8:15AM - 5:00PM
Fri: 8:15AM - 5:00PM
Sat:
Sun: |
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