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WHITTAM, BENJAMIN MICHAEL
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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: |
1200 CHILDRENS AVE 7D
OKLAHOMA CITY OK 73104
Address last updated on 5/14/2018 |
| Phone #: |
(405) 271-3800 |
| Fax #: |
(405) 271-3399 |
| County: |
OKLAHOMA |
| License: |
33203 |
| Dated: |
7/21/2017 |
| Expires: |
7/1/2019 |
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Temp.
Lic.
Issued:
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7/13/2017 |
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Temp.
Lic.
Expires:
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9/15/2017 |
| License Type: |
Medical Doctor |
| Specialty: |
Urology
Pediatric Urology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Dartmouth Med, Hanover Nh 03755 |
| Graduated: |
6 /
2006 |
| CME Year: |
2020 |
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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
AMERICAN BOARD OF UROLOGY - Pediatric 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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