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GLASS, DANIEL MATTHEW       
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: MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Address last updated on 5/26/2019
Phone #: (636) 237-4361
Fax #:
County: NOT OKLAHOMA
License: 33155
Dated: 6/7/2017
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Critical Care Medicine (Internal Medicine)
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tel Aviv Univ, Sackler Sch of Med, Tel Aviv-Yafo, Israel
Graduated: 5 / 2011
CME Year: 2020
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital OKC
Oklahoma City, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Phone #: (636) 237-4361
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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