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Oklahoma Board of Medical Licensure and Supervision

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MUNNELL, EDWARD ROBERT       
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: VA MEDICAL CENTER
SURGERY DIVISION
921 NE 13TH STREET
OKLAHOMA CITY OK 73104-5028
Phone #: (405) 270-0501 x3409
Fax #:
County: OKLAHOMA
License: 6803
Dated: 6/7/1956
Expires: 4/16/2005
License Type: Medical Doctor
Specialty: SURGERY, THORACIC
Vascular Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Chicago Med Sch at Rosalin Franklin Univ of Med & Sci, North Chicago, IL
Graduated: / 1946
CME Year: 2007
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: AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF THORACIC SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VA MEDICAL CENTER
SURGERY DIVISION
921 NE 13TH STREET
OKLAHOMA CITY OK 73104-5028

Phone #: (405) 270-0501 x3409
Fax #:

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