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Last Update: Thursday, November 21, 2024 6:43 PM CST
Next Update: Friday, November 22, 2024 2:50 AM CST
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LONG, DAVID ALLAN II
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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: |
INTEGRIS EDMOND
4801 INTEGRIS PARKWAY
EDMOND OK 73134
Address last updated on 6/10/2024 |
| Phone #: |
(405) 657-3000 |
| Fax #: |
(405) 604-6277 |
| County: |
OKLAHOMA |
| License: |
20241 |
| Dated: |
7/10/1997 |
| Expires: |
7/1/2025 |
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Training
Issued:
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7/1/1996 |
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Training
Expires:
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8/1/1997 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| 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:
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| Date |
Action |
Reasons |
Remarks |
| 12/2/2006 |
License Reinstated |
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| 11/2/2006 |
Suspension, License |
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| 6/26/2006 |
Complaint Citation |
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Board Filings and/or Orders:
11/02/2006
06/23/2006
06/23/2006
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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 EMERGENCY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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