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Oklahoma Board of Medical Licensure and Supervision

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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       
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: 307 E DANFORTH ROAD
STE 154
EDMOND OK 73034-4487

Address last updated on 3/25/2024
Phone #: (405) 216-0100
Fax #:
County: OKLAHOMA
License: 20601
Dated: 4/22/1998
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Dermatology
Dermatologic Surgery
General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 6 / 1977
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
1/15/2020 Probation Ended
1/15/2015 Voluntary Submittal to Jurisdiction
6/9/2014 Complaint Citation
Board Filings and/or Orders:
05/22/2018
01/15/2015
07/11/2014
05/23/2014
05/23/2014
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF DERMATOLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
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
Locations: Hours: Languages:
307 E DANFORTH ROAD
STE 154
EDMOND OK 73034-4487

Phone #: (405) 216-0100
Fax #:
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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