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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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PONDER, MATTHEW CARSON       
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: CHURCH RANCH ED
7233 CHURCH RANCH BLVD
WESTMINSTER CO 80021

Address last updated on 5/5/2020
Phone #: (303) 925-4420
Fax #:
County: NOT OKLAHOMA
License: 33172
Dated: 6/22/2017
Expires: 6/1/2021
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: The Brody Sch of Med at E Carolina Univ, Greenville NC 27858
Graduated: 5 / 1993
CME Year: 2023
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHURCH RANCH ED
7233 CHURCH RANCH BLVD
WESTMINSTER CO 80021

Phone #: (303) 925-4420
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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