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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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HULL, SUSAN M.       
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: 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
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2008
CME Year: 2023
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:
New Patients: No
Medicaid: No
Medicare: No
   
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
Locations: Hours: Languages:
1630 SANTA FE
WAYNOKA OK 73860

Phone #: (580) 824-0330
Fax #: (580) 824-0939

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