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Oklahoma Board of Medical Licensure and Supervision

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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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FIDEL, MARCUS JAMES       
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: MUSCOGEE (CREEK )NATION DEPARTMENT OF HEALTH
1401 MORRIS DRIVE
OKMULGEE OK 74447

Address last updated on 12/3/2024
Phone #: (918) 756-4233
Fax #: (918) 756-3311
County: OKMULGEE
License: 24062
Dated: 1/1/2007
Expires: 1/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 5 / 2004
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/12/2017 Probation Ended
7/12/2012 Probation
7/12/2011 Suspension, License
6/8/2010 Complaint Citation
Board Filings and/or Orders:
07/12/2012
06/08/2010
06/08/2010
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MUSCOGEE (CREEK )NATION DEPARTMENT OF HEALTH
1401 MORRIS DRIVE
OKMULGEE OK 74447

Phone #: (918) 756-4233
Fax #: (918) 756-3311
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LISA WOODWORTH APRN 73781

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