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PIERCE, SURYA JOHN       
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: OU HEALTH SERVICES
GODDARD HEALTH CENTER
620 ELM AVE
NORMAN OK 73019

Address last updated on 9/23/2014
Phone #: (405) 325-4611
Fax #: (405) 325-7065
County: CLEVELAND
License: 28688
Dated: 10/12/2011
Expires: 10/1/2015
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of WI Sch of Med & Public Hlth, Madison, WI
Graduated: 5 / 2007
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OU HEALTH SERVICES
GODDARD HEALTH CENTER
620 ELM AVE
NORMAN OK 73019

Phone #: (405) 325-4611
Fax #: (405) 325-7065
Mon: 8:00AM - 5:30PM
Tue: 8:00AM - 5:30PM
Wed: 8:00AM - 5:30PM
Thu: 8:00AM - 5:30PM
Fri: 8:00AM - 5:30PM
Sat:
Sun:

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