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Oklahoma Board of Medical Licensure and Supervision

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REEDER, PHILLIP HAYWARD       
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: 2890 LEWIS LANE
PARIS TX 75462
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 20953
Dated: 11/10/1998
Expires: 11/1/1999
License Type: Medical Doctor
Specialty: Internal Medicine
Gastroenterology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KY Coll Of Med, Lexington Ky 40536
Graduated: 6 / 1976
CME Year:
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2890 LEWIS LANE
PARIS TX 75462

Phone #:
Fax #:

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