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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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WALDROUP, ANTHONY WAYNE       
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: 88TH MEDICAL GROUP
4881 SURGAR MAPLE DRIVE
WRIGHT PATTERSON AFB OH 45433

Address last updated on 5/2/2024
Phone #: (937) 938-2725
Fax #:
County: NOT OKLAHOMA
License: 20220
Dated: 7/10/1997
Expires: 7/1/2025
Training Issued: 7/1/1996
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Family Medicine
Aerospace Medicine
Occupational Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1996
CME Year: 2027
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 FAMILY MEDICINE
AMERICAN BOARD OF PREVENTIVE MEDICINE (Aerospace Medicine)
AMERICAN BOARD OF PREVENTIVE MEDICINE (Occupational Medicine)
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
88TH MEDICAL GROUP
4881 SURGAR MAPLE DRIVE
WRIGHT PATTERSON AFB OH 45433

Phone #: (937) 938-2725
Fax #:
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Brooke Army Medical Center
3551 Roger Brooke Drive
JBSA Fort Sam Houston, TX 78234

Phone #: (210) 916-5509
Fax #: (6) 202-
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