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HULL, SUSAN M.
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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.
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Practice Address: |
1630 SANTA FE
WAYNOKA OK 73860
Address last updated on 6/2/2020 |
Phone #: |
(580) 824-0330 |
Fax #: |
(580) 824-0939 |
County: |
WOODS |
License: |
28454 |
Dated: |
7/1/2011 |
Expires: |
9/9/2020 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
Graduated: |
5 /
2008 |
CME Year: |
2023 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
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New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Coventry Health Care National Network
HealthChoice
Preferred Community Choice
United Healthcare Options PPO |
Hospital Privileges: |
None listed |
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