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Next Update: Thursday, December 19, 2024 2:50 AM CST
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CHAMBERS, MARY DIANNE
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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: |
3440 RC LUTTRELL
SUITE 200
NORMAN OK 73072
Address last updated on 5/7/2024 |
| Phone #: |
(405) 360-1264 |
| Fax #: |
(405) 321-8683 |
| County: |
CLEVELAND |
| License: |
20216 |
| Dated: |
7/10/1997 |
| Expires: |
7/1/2025 |
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Temp.
Lic.
Issued:
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7/1/1996 |
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Temp.
Lic.
Expires:
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8/1/1997 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1996 |
| CME Year: |
2027 |
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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 OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
Norman Regional Hospital
Norman, OK
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| Locations: |
Hours: |
Languages: |
3440 RC LUTTRELL
SUITE 200
NORMAN OK 73072
Phone #:
(405) 360-1264
Fax #:
(405) 321-8683 |
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: |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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HEATHER BULLOCH
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APRN |
81534 |
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