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Oklahoma Board of Medical Licensure and Supervision

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BURNS, PATRICIA GAYLE       
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: PHYSICIANS' CLINIC
1401 W LOCUST #102
STILWELL OK 74960

Address last updated on 6/9/2018
Phone #: (918) 696-4065
Fax #: (918) 696-3461
County: ADAIR
License: 18978
Dated: 7/1/1994
Expires: 7/1/2019
Training Issued: 6/17/1993
Training Expires: 9/1/1994
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1993
CME Year: 2021
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
PacifiCare of Oklahoma, Inc
United Healthcare HMO
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Memorial Hospital of Stilwell
Stilwell, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
PHYSICIANS' CLINIC
1401 W LOCUST #102
STILWELL OK 74960

Phone #: (918) 696-4065
Fax #: (918) 696-3461
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish

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