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LEWIS, DAVID WARREN       
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: MEDICAL X-RAY CONSULTANTS
VALLEY VIEW HOSPITAL
430 N MONTA VISTA
ADA OK 74820

Address last updated on 12/12/2007
Phone #:
Fax #:
County: PONTOTOC
License: 24753
Dated: 2/10/2006
Expires: 2/1/2009
License Type: Medical Doctor
Specialty: Nuclear Medicine
Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA Davis, Sch Of Med, Davis CA 95616
Graduated: 6 / 1993
CME Year: 2009
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 NUCLEAR MEDICINE
AMERICAN BOARD OF RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MEDICAL X-RAY CONSULTANTS
VALLEY VIEW HOSPITAL
430 N MONTA VISTA
ADA OK 74820

Phone #:
Fax #:

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