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SHAPIRO, BRYAN ELIOT       
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: 2119 MT VERNON STREET
ENID OK 73703

Address last updated on 12/10/2013
Phone #: (580) 231-7785
Fax #:
County: GARFIELD
License: 24408
Dated: 5/19/2005
Expires: 5/1/2014
License Type: Medical Doctor
Specialty: Anesthesiology
Pain Management (Anesthesiology)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduated: 5 / 1985
CME Year: 2014
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Bass Baptist Health Center
Enid, OK
Locations: Hours: Languages:
2119 MT VERNON STREET
ENID OK 73703

Phone #: (580) 231-7785
Fax #:
Mon: 6:00AM - 4:00PM
Tue: 6:00AM - 4:00PM
Wed: 6:00AM - 4:00PM
Thu: 6:00AM - 4:00PM
Fri: 6:00AM - 4:00PM
Sat:
Sun: OFC MGR: ROBIN

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