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Last Update: Wednesday, December 25, 2024 1:14 PM CST
Next Update: Wednesday, December 25, 2024 4:30 PM CST
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GOODMAN, IAN PATRICK
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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: |
12455 E. 100TH ST. NO.
OWASSO OK 74055-4674
Address last updated on 12/4/2024 |
Phone #: |
(918) 392-1513 |
Fax #: |
(918) 392-1590 |
County: |
TULSA |
License: |
39030 |
Dated: |
2/22/2022 |
Expires: |
2/1/2026 |
License Type: |
Medical Doctor |
Specialty: |
Orthopedic Surgery
Sports Medicine (Orthopedic Surgery) |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Univ Of AR Coll Of Med, Little Rock AR 72205 |
Graduated: |
5 /
2012 |
CME Year: |
2028 |
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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 ORTHOPAEDIC SURGERY |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Ascension St. John - Owasso
Owasso, OK
Ascension St. John Medical Center
Tulsa, OK
Baily Medical Center
Owasso, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
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Locations: |
Hours: |
Languages: |
12455 E. 100TH ST. NO.
OWASSO OK 74055-4674
Phone #:
(918) 392-1513
Fax #:
(918) 392-1590 |
Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun: |
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