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Oklahoma Board of Medical Licensure and Supervision

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HADDOX, AUSTEN WALSH WEBB       
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: 301 NORTH HIGH STREET
ANTLERS OK 74523-2238
Phone #:
Fax #:
County: PUSHMATAHA
License: 6308
Dated: 7/5/1952
Expires: 6/30/1990
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: / 1951
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
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:
301 NORTH HIGH STREET
ANTLERS OK 74523-2238

Phone #:
Fax #:

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