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GUEVARA, ADRIAN MATTHEW       
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: 4629 S. HARVARD
SUITE A
TULSA OK 74135

Address last updated on 8/22/2003
Phone #: (918) 510-4620
Fax #:
County: TULSA
License: 22978
Dated: 8/22/2003
Expires: 8/1/2007
License Type: Medical Doctor
Specialty: Dermatology
Dermatopathology
Dermatologic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2001
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:
4629 S. HARVARD
SUITE A
TULSA OK 74135

Phone #: (918) 510-4620
Fax #:
Mon: 8:15AM - 4:30PM
Tue: 8:15AM - 4:30PM
Wed: 8:15AM - 4:30PM
Thu: 8:15AM - 1:00PM
Fri: 8:15AM - 1:00PM
Sat:
Sun:

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