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WOOTEN, AMBER NICOLE       
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: 731 12TH AVE NW
SUITE 100
ARDMORE OK 73401

Address last updated on 4/25/2018
Phone #: (580) 223-3216
Fax #: (580) 223-4184
County: CARTER
License: 28393
Dated: 6/8/2011
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2006
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
731 12TH AVE NW
SUITE 100
ARDMORE OK 73401

Phone #: (580) 223-3216
Fax #: (580) 223-4184
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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