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RUSSUM, WILLIAM JOHN       
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: MEDICAL PARK CENTER, #503
BARTLESVILLE OK 74006

Address last updated on 12/23/1999
Phone #:
Fax #:
County: WASHINGTON
License: 7988
Dated: 8/2/1963
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: / 1953
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: AMERICAN BOARD OF PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MEDICAL PARK CENTER, #503
BARTLESVILLE OK 74006

Phone #:
Fax #:

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