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Oklahoma Board of Medical Licensure and Supervision

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FIRESTONE, FREDERICK NORTON       
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: 301 NORTH FIREWOOD COURT
BROKEN ARROW OK 74012
Phone #:
Fax #:
County: TULSA
License: 19559
Dated: 11/17/1995
Expires: 11/1/2001
License Type: Medical Doctor
Specialty: General Surgery
Vascular Surgery
SURGERY, THORACIC
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 6 / 1956
CME Year: 2003
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 SURGERY
AMERICAN BOARD OF THORACIC SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
301 NORTH FIREWOOD COURT
BROKEN ARROW OK 74012

Phone #:
Fax #:

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