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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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PHELPS, CHARLES RAY II       
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: DEPT RADIOLOGY
ALLIANCE HEALTH DURANT
1800 W. UNIVERSITY BLVD
DURANT OK 75092

Address last updated on 6/24/2024
Phone #:
Fax #:
County: BRYAN
License: 20149
Dated: 7/16/1997
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 6 / 1976
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/18/2008 Probation Ended
11/20/2003 Probation
Board Filings and/or Orders:
09/18/2008
11/20/2003
09/18/2003
09/18/2003
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Medical Center of Southeastern OK
Durant, OK
Locations: Hours: Languages:
DEPT RADIOLOGY
ALLIANCE HEALTH DURANT
1800 W. UNIVERSITY BLVD
DURANT OK 75092

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
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