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ROSE, DAVID DEAN
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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: |
1025 15TH AVENUE NW
ARDMORE OK 73401-1810
Address last updated on 5/18/2011 |
| Phone #: |
(580) 226-7673 |
| Fax #: |
(5) 802-5170 |
| County: |
CARTER |
| License: |
7472 |
| Dated: |
6/3/1959 |
| Expires: |
6/1/2012 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
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1959 |
| CME Year: |
2013 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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Board Filings and/or Orders:
02/01/1991
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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: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
BlueChoice PPO
HealthChoice
Preferred Community Choice |
| Hospital Privileges: |
None listed |
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