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DAVID, LESLIE ALVIN       
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: 22 BETHEA DRIVE
HILTON HEAD ISLAND SC 29926

Address last updated on 3/21/2003
Phone #: (843) 689-9720
Fax #: (918) 494-9324
County: NOT OKLAHOMA
License: 22885
Dated: 5/20/2002
Expires: 5/1/2005
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Family Practice)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Sch of Med at Stony Brook Univ Med Ctr, Stony Brook, NY
Graduated: 5 / 1999
CME Year: 2005
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
United Healthcare HMO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
22 BETHEA DRIVE
HILTON HEAD ISLAND SC 29926

Phone #: (843) 689-9720
Fax #: (918) 494-9324
Mon: 8:15AM - 4:45PM
Tue: 8:15AM - 12:45PM
Wed: 8:15AM - 4:45PM
Thu: 8:15AM - 4:45PM
Fri: 8:15AM - 4:45PM
, SC
Phone #:
Fax #:
Vietnamese
Chinese (Mandarin)

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