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Oklahoma Board of Medical Licensure and Supervision

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RADER, MICHAEL DAVID       
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: 1121 WEST THIRD STREET
ELK CITY OK 73644-5103

Address last updated on 2/8/2022
Phone #: (580) 243-3376
Fax #: (580) 243-3377
County: BECKHAM
License: 18832
Dated: 4/4/1994
Expires: 4/1/2025
Training Issued: 6/28/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Dermatology
Dermatologic Surgery
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 / 1990
CME Year: 2025
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 DERMATOLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Locations: Hours: Languages:
1121 WEST THIRD STREET
ELK CITY OK 73644-5103

Phone #: (580) 243-3376
Fax #: (580) 243-3377
Mon:
Tue: 8:00AM - 5:00PM DAYS MAY VARY
Wed: 8:00AM - 3:00PM DAYS MAY VARY
Thu:
Fri:
Sat:
Sun:

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