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AVERION, NEWTON AVENIDO       
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: SOUTHERN OKLA RESOURCE CENTER
RT 1 BOX 44A
PAULS VALLEY OK 73075
Phone #: (405) 238-6401
Fax #:
County: GARVIN
License: 21587
Dated: 10/4/1974
Expires: 10/1/2007
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Special License
Restricted to: SOUTHERN OKLAHOMA RESOURCE CENTER
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 1 / 1959
CME Year: 2009
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SOUTHERN OKLA RESOURCE CENTER
RT 1 BOX 44A
PAULS VALLEY OK 73075

Phone #: (405) 238-6401
Fax #:

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