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Oklahoma Board of Medical Licensure and Supervision

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MEYER, CHRISTOPHER MARK       
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: 530 NORTH MONTE VISTA
ADA OK 74820

Address last updated on 5/30/2018
Phone #: (580) 310-9510
Fax #: (580) 436-4447
County: PONTOTOC
License: 20674
Dated: 6/19/1998
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1995
CME Year: 2019
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
One Health Plan PPO
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
United Healthcare Options PPO
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Locations: Hours: Languages:
530 NORTH MONTE VISTA
ADA OK 74820

Phone #: (580) 310-9510
Fax #: (580) 436-4447
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri:
Sat:
Sun: 9:00AM - 5:00PM

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