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Oklahoma Board of Medical Licensure and Supervision

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BERGER, ELMER STANLEY       
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: 1302 KERR RESEARCH DR
ADA OK 74820-9791

Address last updated on 11/7/2000
Phone #:
Fax #:
County: PONTOTOC
License: 5513
Dated: 12/3/1946
Expires: 12/1/2000
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1944
CME Year: 2000
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1302 KERR RESEARCH DR
ADA OK 74820-9791

Phone #:
Fax #:

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