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Next Update: Thursday, December 19, 2024 12:00 PM CST

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ANDES, EUGENE BENTON       
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: SOUTHSIDE REGIONAL MED CTR
801 SOUTH ADAMS STREET
PETERSBURG VA 23803
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19176
Dated: 8/23/1994
Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Emergency Medicine
General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Raymond & Ruth Perelman Sch of Med at Univ of PA, Philadelphia, PA
Graduated: 6 / 1968
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SOUTHSIDE REGIONAL MED CTR
801 SOUTH ADAMS STREET
PETERSBURG VA 23803

Phone #:
Fax #:

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