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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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RUSSELL, DEBRA KAYE       
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: 1001 TOWSON AVE
FORT SMITH AR 72901-4921

Address last updated on 3/8/2019
Phone #: (479) 441-4181
Fax #:
County: NOT OKLAHOMA
License: 20630
Dated: 5/1/1998
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 6 / 1994
CME Year: 2022
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
Railroad Medicare
Sparks Premiercare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner
Hospital Privileges: Northeastern Health System Sequoyah (fmly Sequoyah Mem Hosp)
Sallisaw, OK
Locations: Hours: Languages:
1001 TOWSON AVE
FORT SMITH AR 72901-4921

Phone #: (479) 441-4181
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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