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Oklahoma Board of Medical Licensure and Supervision

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DAVIS, PATRICK EDWARD       
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: REYNOLDS ARMY COMMUNITY HOSPITAL
4301 WILSON STREET
FORT SILL OK 73505

Address last updated on 1/30/2015
Phone #: (580) 558-2800
Fax #:
County: COMANCHE
License: 28205
Dated: 2/7/2011
Expires: 2/1/2016
License Type: Medical Doctor
Specialty: Radiology
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 / 2005
CME Year: 2017
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Reynolds Army Community Hospital
Fort Sill, OK
Locations: Hours: Languages:
REYNOLDS ARMY COMMUNITY HOSPITAL
4301 WILSON STREET
FORT SILL OK 73505

Phone #: (580) 558-2800
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3401 West Gore Boulevard
Lawton, OK 73505

Phone #: (580) 355-8620
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