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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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OLSHEN, ANDREW RUSSELL
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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: |
ERNEST CHILDERS OUTPT VA CLINIC
8921 SOUTH MINGO RD
TULSA OK 74133
Address last updated on 9/11/2024 |
| Phone #: |
(888) 397-8387 x2994 |
| Fax #: |
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| County: |
TULSA |
| License: |
23633 |
| Dated: |
10/30/2003 |
| Expires: |
10/1/2025 |
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Temp.
Lic.
Issued:
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9/17/2003 |
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Temp.
Lic.
Expires:
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11/22/2003 |
| License Type: |
Medical Doctor |
| Specialty: |
Physical Medicine & Rehabilitation |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Rutgers Robt W Johnson Med Sch, (fmly UMDNJ) |
| Graduated: |
6 /
1994 |
| 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: |
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| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
V.A. Medical Center-Muskogee
Muskogee, OK
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