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FIRESTONE, FREDERICK NORTON
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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.
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Practice Address: |
301 NORTH FIREWOOD COURT
BROKEN ARROW OK 74012
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Phone #: |
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Fax #: |
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County: |
TULSA |
License: |
19559 |
Dated: |
11/17/1995 |
Expires: |
11/1/2001 |
License Type: |
Medical Doctor |
Specialty: |
General Surgery
Vascular Surgery
SURGERY, THORACIC |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Stanford Univ Sch Of Med, Stanford CA 94305 |
Graduated: |
6 /
1956 |
CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF THORACIC SURGERY |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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