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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MILLER, DAVID WILLIAM       
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: 10158 S 71ST EAST AVENUE
TULSA OK 74133

Address last updated on 7/26/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 20875
Dated: 9/16/1998
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Rutgers Robt W Johnson Med Sch, (fmly UMDNJ)
Graduated: 6 / 1993
CME Year: 2025
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 EMERGENCY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
10158 S 71ST EAST AVENUE
TULSA OK 74133

Phone #:
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 8:00PM
Sun: 10:00AM - 6:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JENNIFER DIANE LAEGER PA 2377

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