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PETERSON, GARY HOOVER       
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: 1170 E BROADWAY
SUITE 201
LOUISVILLE KY 40204
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19714
Dated: 5/17/1996
Expires: 5/1/1998
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated: 5 / 1972
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1170 E BROADWAY
SUITE 201
LOUISVILLE KY 40204

Phone #:
Fax #:

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