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COLEMAN, MICHAEL DORTCH JR       
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: MERCY CLINIC
6801 ROGERS AVENUE
FORT SMITH AR 72903

Address last updated on 4/9/2020
Phone #: (479) 274-4300
Fax #: (479) 274-4399
County: NOT OKLAHOMA
License: 21525
Dated: 5/10/2000
Expires: 5/1/2021
License Type: Medical Doctor
Specialty: Internal Medicine
Nephrology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1994
CME Year: 2021
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
AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY CLINIC
6801 ROGERS AVENUE
FORT SMITH AR 72903

Phone #: (479) 274-4300
Fax #: (479) 274-4399
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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