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PURDOM, DAVID GERARD       
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: GREAT PLAINS REGIONAL MEDICAL CENTER
1800 W 1ST ST
SUITE 105
ELK CITY OK 73644

Address last updated on 12/16/2010
Phone #: (580) 225-2517
Fax #:
County: BECKHAM
License: 26793
Dated: 1/26/2009
Expires: 1/1/2012
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KY Coll Of Med, Lexington Ky 40536
Graduated: 6 / 2002
CME Year: 2012
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GREAT PLAINS REGIONAL MEDICAL CENTER
1800 W 1ST ST
SUITE 105
ELK CITY OK 73644

Phone #: (580) 225-2517
Fax #:

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