Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
MARTIN, MARY WADE
|
|
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: |
12129 N COUNTY ROAD 3260
PAULS VALLEY OK 73075
Address last updated on 8/4/2024 |
| Phone #: |
(405) 816-7665 |
| Fax #: |
|
| County: |
GARVIN |
| License: |
23664 |
| Dated: |
9/15/2003 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology
Reproductive Endocrinology
Endocrinology, Diabetes and Metabolism
Gynecology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Il Coll Of Med, Chicago Il 60680 |
| Graduated: |
6 /
1991 |
| CME Year: |
2027 |
|
|
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: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
KEITH STARWALT
|
APRN |
15361 |
|
|
Return to Search Licensees page
