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Oklahoma Board of Medical Licensure and Supervision

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GOODNIGHT, TRAVIS JASON       
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: TRAVIS GOODNIGHT MD PA
2010 CHESTNUT ST
SUITE C
VAN BUREN AR 72956

Address last updated on 11/4/2013
Phone #: (479) 922-2213
Fax #:
County: NOT OKLAHOMA
License: 26769
Dated: 1/26/2009
Expires: 4/12/2014
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2002
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 SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TRAVIS GOODNIGHT MD PA
2010 CHESTNUT ST
SUITE C
VAN BUREN AR 72956

Phone #: (479) 922-2213
Fax #:

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