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Oklahoma Board of Medical Licensure and Supervision

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ECHT, GREGORY ALLEN       
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: ARDMORE SURGERY CENTER
2005 12TH NW #C
ARDMORE OK 73401

Address last updated on 3/7/2018
Phone #: (580) 224-0007
Fax #: (580) 224-7140
County: CARTER
License: 27430
Dated: 1/1/2011
Expires: 1/1/2018
License Type: Medical Doctor
Specialty: Radiation Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 1985
CME Year: 2020
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 (Radiation Oncology specific)
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CIGNA PPO
Great West Healthcare
Secure Horizons HMO
Texas Medicaid
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
ARDMORE SURGERY CENTER
2005 12TH NW #C
ARDMORE OK 73401

Phone #: (580) 224-0007
Fax #: (580) 224-7140
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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