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SHAPARD, EDWIN RUTHVEN III       
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: 5505 S.IRVINGTON
TULSA OK 74135
Phone #:
Fax #:
County: TULSA
License: 6495
Dated: 2/3/1954
Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Retired
Restricted to:
Registered to Dispense: YES
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: / 1944
CME Year:
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5505 S.IRVINGTON
TULSA OK 74135

Phone #:
Fax #:

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