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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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SHRADER, FLOYD RAY       
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: 304 N.BOND
WEST MEMPHIS AR 72301

Address last updated on 5/31/2013
Phone #: (870) 702-8865
Fax #:
County: NOT OKLAHOMA
License: 9296
Dated: 7/15/1970
Expires: 1/7/2014
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1969
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
HealthChoice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
304 N.BOND
WEST MEMPHIS AR 72301

Phone #: (870) 702-8865
Fax #:

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