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YATES, MATTHEW CHARLES       
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: 122 SAILBOAT LANE
UNION HALL VA 24176

Address last updated on 12/12/2012
Phone #: (276) 732-7074
Fax #:
County: NOT OKLAHOMA
License: 24930
Dated: 5/26/2006
Expires: 5/1/2013
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 11 / 1984
CME Year: 2015
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 RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Medical Center of Southeastern OK
Durant, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
122 SAILBOAT LANE
UNION HALL VA 24176

Phone #: (276) 732-7074
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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