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RICHARDSON, TYRUN KEITH
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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: |
1965 S FREMONT
SPRINGFIELD MO 65804
Address last updated on 12/28/2016 |
| Phone #: |
(417) 820-0300 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
31026 |
| Dated: |
1/12/2015 |
| Expires: |
1/1/2018 |
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Temp.
Lic.
Issued:
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12/17/2014 |
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Temp.
Lic.
Expires:
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1/16/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
Urology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
1983 |
| 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 UROLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
1965 S FREMONT
SPRINGFIELD MO 65804
Phone #:
(417) 820-0300
Fax #:
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Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: |
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