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Next Update: Thursday, December 19, 2024 2:50 AM CST
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GAUTHIER, WILFRED STEPHAN JR
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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.
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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 |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
Graduated: |
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1965 |
CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF SURGERY |
New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
BlueChoice PPO
HealthChoice
Preferred Community Choice |
Hospital Privileges: |
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
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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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