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STILLWELL, PETER MACKEY       
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: 305 STEHMAN CHURCH ROAD
MILLERSVILLE PA 17551-9622

Address last updated on 8/7/2011
Phone #: (717) 871-9848
Fax #: (717) 871-9273
County: NOT OKLAHOMA
License: 25984
Dated: 10/16/2007
Expires: 10/1/2013
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: MED COLL OF PA, PHILADELPHIA PA 19129
Graduated: 5 / 1996
CME Year: 2013
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: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
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Locations: Hours: Languages:
305 STEHMAN CHURCH ROAD
MILLERSVILLE PA 17551-9622

Phone #: (717) 871-9848
Fax #: (717) 871-9273
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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