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BUTCHKO, GARY JON       
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: CHILDREN'S HEART CENTER
OUHSC, DEPARTMENT OF PEDIATRICS
1200 EVERETT DRNP2350
OKLAHOMA CITY OK 73104

Address last updated on 11/29/2018
Phone #: (405) 271-4411 x44412
Fax #:
County: OKLAHOMA
License: 34404
Dated: 2/8/2019
Expires: 2/1/2020
License Type: Medical Doctor
Specialty: Pediatric Cardiology
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210
Graduated: 6 / 1996
CME Year: 2022
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 PEDIATRICS - Pediatric Cardiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHILDREN'S HEART CENTER
OUHSC, DEPARTMENT OF PEDIATRICS
1200 EVERETT DRNP2350
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4411 x44412
Fax #:

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