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PITHA, JAN VACLAV       
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: 921 N. E. 13TH ST.
OKLAHOMA CITY OK 73104-5075

Address last updated on 5/22/2018
Phone #: (405) 456-5012
Fax #: (405) 456-5922
County: OKLAHOMA
License: 9962
Dated: 6/18/1973
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Anatomic Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Karlovy, Lek Fak I, Praha, Czech Rep
Graduated: 7 / 1959
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
921 N. E. 13TH ST.
OKLAHOMA CITY OK 73104-5075

Phone #: (405) 456-5012
Fax #: (405) 456-5922
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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