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Oklahoma Board of Medical Licensure and Supervision

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EDSTROM, STEVEN MICHAEL       
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: NW ANESTHESIA PC
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 11/30/2007
Phone #: (405) 951-2815
Fax #:
County: OKLAHOMA
License: 20499
Dated: 1/2/1998
Expires: 11/24/2008
Training Issued: 7/5/1996
Training Expires: 7/1/1998
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1994
CME Year: 2009
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NW ANESTHESIA PC
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 951-2815
Fax #:

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