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Oklahoma Board of Medical Licensure and Supervision

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BOATSMAN, RICHARD JUSTIN       
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: 3401 W GORE
LAWTON OK 73502

Address last updated on 4/4/2012
Phone #: (580) 355-8620 x3358
Fax #: (580) 355-5462
County: COMANCHE
License: 9426
Dated: 6/30/1972
Expires: 6/1/2013
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1970
CME Year: 2013
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 PATHOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Locations: Hours: Languages:
3401 W GORE
LAWTON OK 73502

Phone #: (580) 355-8620 x3358
Fax #: (580) 355-5462

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