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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: UNIVERSITY OF OKLAHOMA MEDICAL CENTER
DEPARTMENT OF NEUROLOGY
920 SL YOUNG BLVD #2040
OKLAHOMA CITY OK 73104

Address last updated on 4/30/2014
Phone #: (405) 271-4113
Fax #:
County: OKLAHOMA
License: 28427
Dated: 6/1/2011
Expires: 6/1/2015
License Type: Medical Doctor
Specialty: Neurology
Child Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Monash Univ, Fac Of Med, Clayton, Vic, Australia
Graduated: 12 / 1991
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 PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Epilepsy
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology w/ Child Neurology)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Bethany Children's Health Center (frmly The Children's Center)
Bethany, OK
OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA MEDICAL CENTER
DEPARTMENT OF NEUROLOGY
920 SL YOUNG BLVD #2040
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4113
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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