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Oklahoma Board of Medical Licensure and Supervision

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HODGE, TOMMY GORDON       
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: 1251 SOUTH 94TH STREET WEST
MUSKOGEE OK 74401

Address last updated on 4/7/2010
Phone #: (918) 682-7841
Fax #: (918) 682-6170
County: MUSKOGEE
License: 7585
Dated: 6/1/1960
Expires: 4/29/2010
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1960
CME Year: 2013
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1251 SOUTH 94TH STREET WEST
MUSKOGEE OK 74401

Phone #: (918) 682-7841
Fax #: (918) 682-6170

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