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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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GLICK, DICK L       
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: 2950 S ELM PLACE
#325
BROKEN ARROW OK 74012

Address last updated on 4/8/2008
Phone #: (918) 449-4034
Fax #: (918) 449-4039
County: TULSA
License: 9927
Dated: 6/1/1973
Expires: 12/18/2008
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated: / 1972
CME Year: 2010
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
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Great West Healthcare
HealthChoice
Medicare Blue
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
2950 S ELM PLACE
#325
BROKEN ARROW OK 74012

Phone #: (918) 449-4034
Fax #: (918) 449-4039

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