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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MARTIN, FREDRICK ALLAN       
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: 813 FOUNDERS PARK DRIVE EAST
SUITE 107
SPRINGDALE AR 72762-6314

Address last updated on 5/5/2022
Phone #: (479) 463-6600 x6618
Fax #: (479) 463-6601
County: NOT OKLAHOMA
License: 29698
Dated: 5/1/2013
Expires: 5/1/2023
License Type: Medical Doctor
Specialty: Family Medicine
GERIATRICS
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1982
CME Year: 2025
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
AMERICAN BOARD OF FAMILY MEDICINE - Geriatric Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
813 FOUNDERS PARK DRIVE EAST
SUITE 107
SPRINGDALE AR 72762-6314

Phone #: (479) 463-6600 x6618
Fax #: (479) 463-6601
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 4:30PM
Sat:
Sun:

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