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Oklahoma Board of Medical Licensure and Supervision

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GROOM, DALE       
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: 8330 E. CHOLLA RD.
SCOTTSDALE AZ 85260

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 8923
Dated: 12/10/1968
Expires: 6/30/1984
License Type: Medical Doctor
Specialty: Internal Medicine
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298
Graduated: / 1943
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 INTERNAL MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8330 E. CHOLLA RD.
SCOTTSDALE AZ 85260

Phone #:
Fax #:

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