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Next Update: Thursday, December 19, 2024 12:00 PM CST
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MOORE, CHARLES STRAND
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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: |
20 THE LEGENDS PKWY
EUREKA MO 63025
Address last updated on 5/18/2020 |
| Phone #: |
(636) 549-0100 |
| Fax #: |
(636) 549-0101 |
| County: |
NOT OKLAHOMA |
| License: |
23555 |
| Dated: |
8/18/2004 |
| Expires: |
8/1/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Emory Univ Sch Of Med, Atlanta GA 30322 |
| Graduated: |
5 /
2003 |
| CME Year: |
2016 |
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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 FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
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| Locations: |
Hours: |
Languages: |
20 THE LEGENDS PKWY
EUREKA MO 63025
Phone #:
(636) 549-0100
Fax #:
(636) 549-0101 |
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat: 8:00AM - 3:00PM
Sun: |
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