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BOTHWELL, JASON DUDLEY       
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: MADIGAN ARMY MEDICAL CENTER
9040 FITZSIMONS DRIVE
TACOMA WA 98503

Address last updated on 6/3/2017
Phone #: (253) 968-1250
Fax #:
County: NOT OKLAHOMA
License: 25900
Dated: 8/15/2007
Expires: 8/1/2017
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: USUHS F E Hebert Sch of Med Bethesda Md 20814
Graduated: 5 / 2001
CME Year: 2019
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MADIGAN ARMY MEDICAL CENTER
9040 FITZSIMONS DRIVE
TACOMA WA 98503

Phone #: (253) 968-1250
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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