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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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FITZGERALD, RUSSELL WILLIAM
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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.
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| Practice Address: |
1100 NORTH COLLEGE AVENUE
FAYETTEVILLE AR 72701
Address last updated on 5/28/2024 |
| Phone #: |
(479) 443-4301 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
23365 |
| Dated: |
6/20/2003 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
1995 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
BlueChoice PPO
HealthChoice |
| Hospital Privileges: |
Beaver County Memorial Hosp. & Nursing Home
Beaver, OK
Hospital(s) Not In Oklahoma
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