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ALLEN, DAVID EUGENE
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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: |
1011 14TH AVENUE NW
ARDMORE OK 73401-1828
Address last updated on 8/24/2017 |
| Phone #: |
(801) 648-8908 |
| Fax #: |
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| County: |
CARTER |
| License: |
29467 |
| Dated: |
9/10/2012 |
| Expires: |
9/1/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
| Graduated: |
5 /
2009 |
| CME Year: |
2018 |
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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: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
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