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HALLQUIST, STONE MATTHEW       
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: 4824 S. YORKTOWN CT.
TULSA OK 74105

Address last updated on 4/25/2016
Phone #: (918) 493-5571
Fax #: (918) 271-5776
County: TULSA
License: 9199
Dated: 6/12/1970
Expires: 6/1/2017
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: NWU, Feinberg Sch of Med, Chicago Il 60611
Graduated: / 1963
CME Year: 2019
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - Broken Arrow
Broken Arrow, OK
Locations: Hours: Languages:
4824 S. YORKTOWN CT.
TULSA OK 74105

Phone #: (918) 493-5571
Fax #: (918) 271-5776
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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