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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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GRAHAM, DAVID L
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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: |
307 E DANFORTH ROAD
STE 154
EDMOND OK 73034-4487
Address last updated on 3/25/2024 |
Phone #: |
(405) 216-0100 |
Fax #: |
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County: |
OKLAHOMA |
License: |
20601 |
Dated: |
4/22/1998 |
Expires: |
4/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Dermatology
Dermatologic Surgery
General Practice |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Stanford Univ Sch Of Med, Stanford CA 94305 |
Graduated: |
6 /
1977 |
CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
1/15/2020 |
Probation Ended |
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1/15/2015 |
Voluntary Submittal to Jurisdiction |
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6/9/2014 |
Complaint Citation |
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Board Filings and/or Orders:
05/22/2018
01/15/2015
07/11/2014
05/23/2014
05/23/2014
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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 DERMATOLOGY |
New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Coventry Health Care National Network
HealthChoice
Tricare for Life
United Healthcare POS |
Hospital Privileges: |
None listed |
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Locations: |
Hours: |
Languages: |
307 E DANFORTH ROAD
STE 154
EDMOND OK 73034-4487
Phone #:
(405) 216-0100
Fax #:
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Mon: Tue: Wed: Thu: 8:00AM - 2:30PM Fri: 8:00AM - 2:30PM Sat: Sun: |
Spanish |
702 W. Broadway Ave
Enid, OK 73701
Phone #:
(580) 234-4861
Fax #:
(5) 200- |
Mon: 8:00AM - 2:00PM May call any day M-F for appt Tue: 8:00AM - 2:45PM May call any day M-F for appt Wed: 8:00AM - 2:15PM May call any day M-F for appt Thu: In Edmond Office 8a-4p Fri: In Edmond Office 8a-4p Sat: Sun: |
Spanish |
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