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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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DAVENPORT, BARRY ISAAC
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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: |
1 WICKERSHAM DR
MANGUM OK 73554
Address last updated on 9/26/2024 |
| Phone #: |
(580) 643-0408 |
| Fax #: |
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| County: |
GREER |
| License: |
37355 |
| Dated: |
10/12/2020 |
| Expires: |
10/1/2025 |
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Temp.
Lic.
Issued:
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9/28/2020 |
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Temp.
Lic.
Expires:
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1/21/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Aerospace Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Paul L Foster Sch of Med, TX Tech Univ, El Paso, TX |
| Graduated: |
5 /
2019 |
| CME Year: |
2026 |
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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: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mangum Regional Medical Center (fmly Mangum City Hospital)
Mangum, OK
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| Locations: |
Hours: |
Languages: |
1 WICKERSHAM DR
MANGUM OK 73554
Phone #:
(580) 643-0408
Fax #:
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Mon: 7:45AM - 4:30PM
Tue: 7:45AM - 4:30PM
Wed: 7:45AM - 4:30PM
Thu: 7:45AM - 4:30PM
Fri: 7:45AM - 4:30PM
Sat:
Sun: |
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