Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

SPEZIALE, MARK VITO       
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: 7727 S MEMORIAL DRIVE #2-306
TULSA OK 74133
Phone #:
Fax #:
County: TULSA
License: 20315
Dated: 8/15/1997
Expires: 8/1/2000
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: SUNY, DWNSTATE M C COLL MED, BROOKLYN NY 11203
Graduated: 6 / 1991
CME Year: 2000
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
7727 S MEMORIAL DRIVE #2-306
TULSA OK 74133

Phone #:
Fax #:

Return to Search Licensees page