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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JOHNSON, OTEY G.
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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: |
400 COUNTRY CLUB DR.
ARDMORE OK 73401
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| Phone #: |
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| Fax #: |
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| County: |
CARTER |
| License: |
6107 |
| Dated: |
6/8/1950 |
| Expires: |
6/30/1985 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
General Preventive Medicine |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Loma Linda Univ Sch Of Med, Loma Linda CA 92350 |
| Graduated: |
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1943 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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Board Filings and/or Orders:
05/07/1999
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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: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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