GARDNER, JAMES LARIMER III - Licensee Information

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GARDNER, JAMES LARIMER III

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:	IN HIS IMAGE FAMILY PRACTICE RESIDENCY PROGRAM 7600 SOUTH LEWIS TULSA OK 74136 Address last updated on 8/1/2003
Phone #:	(918) 493-7880
Fax #:
County:	TULSA
License:	22969
Dated:	8/1/2003
Expires:	8/1/2005
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	YES
Medical School:	JEFFERSON MED COLL-THOS JEFFERSON UNIV, PHILADELPHIA PA 19107
Graduated:	6 / 2002
CME Year:	2006

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 United Healthcare HMO United Healthcare Options PPO Welcor/Sooner
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
IN HIS IMAGE FAMILY PRACTICE RESIDENCY PROGRAM 7600 SOUTH LEWIS TULSA OK 74136 Phone #: (918) 493-7880 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 3:00AM - M

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