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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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REYNOLDS, ADAM CLINTON       
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: 608 SL YOUNG BLVD
OKLAHOMA CITY OK 73104-5014

Address last updated on 4/23/2001
Phone #: (405) 271-1093
Fax #:
County: OKLAHOMA
License: 21104
Dated: 5/10/1999
Expires: 5/1/2007
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduated: 6 / 1995
CME Year: 2008
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
608 SL YOUNG BLVD
OKLAHOMA CITY OK 73104-5014

Phone #: (405) 271-1093
Fax #:

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