Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
|
SMITH, TRACY TODD
|
|
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: |
1055 RUTH ST
STE 2B
PRESCOTT AZ 86301
Address last updated on 7/14/2024 |
| Phone #: |
(928) 308-5990 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
19497 |
| Dated: |
8/24/1995 |
| Expires: |
8/1/2025 |
|
Training
Issued:
|
6/30/1994 |
|
Training
Expires:
|
6/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
|
| 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: |
5 /
1994 |
| CME Year: |
2027 |
|
|
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 INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Aetna HMO
CommunityCare HMO, Inc
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
|
|
| Locations: |
Hours: |
Languages: |
1055 RUTH ST
STE 2B
PRESCOTT AZ 86301
Phone #:
(928) 308-5990
Fax #:
|
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun: |
|
|
|
|
Return to Search Licensees page
