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Next Update: Thursday, December 19, 2024 12:00 PM CST

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SOUTHERN, EDWARD PAUL       
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: DEPARTMENT OF SURGERY ORTHOPAEDIC SURGERY SECTION
BAYNE-JONES ARMY COMMUNITY HOSPITAL
1585 3RD ST
SOUTH FORT POLK LA 71459-5110

Address last updated on 12/31/2022
Phone #: (337) 653-2315
Fax #:
County: NOT OKLAHOMA
License: 28907
Dated: 2/7/2012
Expires: 2/1/2024
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Pediatric Orthopedics
Orthopedic Surgery of the Spine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 5 / 1988
CME Year: 2024
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
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Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
DEPARTMENT OF SURGERY ORTHOPAEDIC SURGERY SECTION
BAYNE-JONES ARMY COMMUNITY HOSPITAL
1585 3RD ST
SOUTH FORT POLK LA 71459-5110

Phone #: (337) 653-2315
Fax #:
Mon:
Tue:
Wed:
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Sat:
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