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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GAUTHIER, WILFRED STEPHAN JR       
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: 921 14TH N W
ARDMORE OK 73401

Address last updated on 8/22/2013
Phone #: (580) 223-5311
Fax #: (580) 223-8227
County: CARTER
License: 8543
Dated: 10/3/1966
Expires: 10/1/2014
License Type: Medical Doctor
Specialty: General Surgery
Occupational Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1965
CME Year: 2015
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 SURGERY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Preferred Community Choice
Hospital Privileges: Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
921 14TH N W
ARDMORE OK 73401

Phone #: (580) 223-5311
Fax #: (580) 223-8227
Mon: 8:30AM - 5:30PM
Fri: 8:30AM - 5:30PM

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