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HALLQUIST, STONE MATTHEW
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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: |
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 |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
NWU, Feinberg Sch of Med, Chicago Il 60611 |
Graduated: |
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1963 |
CME Year: |
2019 |
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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 UROLOGY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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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
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