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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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MACKEY, ROBERT WARREN       
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: 4818 SO. ZUNIS AVE
TULSA OK 74105-8760

Address last updated on 5/15/2015
Phone #: (918) 749-2605
Fax #: (918) 932-8463
County: TULSA
License: 8442
Dated: 6/16/1966
Expires: 6/1/2016
License Type: Medical Doctor
Specialty: Pediatrics
Allergy
Developmental-Behavioral Pediatrics
Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: / 1963
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: AMERICAN BOARD OF PEDIATRICS
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Humana ChoiceCare
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
4818 SO. ZUNIS AVE
TULSA OK 74105-8760

Phone #: (918) 749-2605
Fax #: (918) 932-8463

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