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FORD, SUSAN ELIZABETH       
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: 8800 MONTGOMERY BLVD, NE
ALBUQUERQUE NM 87111

Address last updated on 4/12/2002
Phone #: (505) 462-6400
Fax #: (918) 744-8843
County: NOT OKLAHOMA
License: 20917
Dated: 10/2/1998
Expires: 10/1/2004
License Type: Medical Doctor
Specialty: Family Medicine
Medical Management
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduated: 6 / 1974
CME Year: 2004
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Hospital(s) Not In Oklahoma
,
INTEGRIS Baptist Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
8800 MONTGOMERY BLVD, NE
ALBUQUERQUE NM 87111

Phone #: (505) 462-6400
Fax #: (918) 744-8843

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