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Oklahoma Board of Medical Licensure and Supervision

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CORLEY, BERT NELSON       
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: 104D S OAK ST
PO BOX 808
SALLISAW OK 74955-0808

Address last updated on 4/4/2015
Phone #: (918) 775-4448
Fax #: (918) 775-9113
County: SEQUOYAH
License: 8032
Dated: 12/12/1963
Expires: 6/1/2016
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1962
CME Year: 2016
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: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
Hospital Privileges: Northeastern Health System Sequoyah (fmly Sequoyah Mem Hosp)
Sallisaw, OK
Locations: Hours: Languages:
104D S OAK ST
PO BOX 808
SALLISAW OK 74955-0808

Phone #: (918) 775-4448
Fax #: (918) 775-9113

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