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BUCKLEY, ALICE       
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: HASTINGS INDIAN MEDICAL CENTER
100 BLISS AVE
TAHLEQUAH OK 74464

Address last updated on 7/13/2012
Phone #:
Fax #:
County: CHEROKEE
License: 28522
Dated: 8/9/2011
Expires: 8/1/2013
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 6 / 1992
CME Year: 2014
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HASTINGS INDIAN MEDICAL CENTER
100 BLISS AVE
TAHLEQUAH OK 74464

Phone #:
Fax #:

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