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RICHARDSON, WILLIAM POLK
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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: |
1723 N WASHINGTON AVE
DURANT OK 74701-2117
Address last updated on 8/3/2017 |
Phone #: |
(903) 714-1879 |
Fax #: |
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County: |
BRYAN |
License: |
23609 |
Dated: |
9/11/2003 |
Expires: |
6/1/2018 |
Temp.
Lic.
Issued:
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7/2/2003 |
Temp.
Lic.
Expires:
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9/14/2003 |
License Type: |
Medical Doctor |
Specialty: |
General Surgery
Vascular Surgery |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Baylor Coll Of Med, Houston Tx 77030 |
Graduated: |
6 /
1969 |
CME Year: |
2018 |
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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: |
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New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO |
Hospital Privileges: |
None listed |
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