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FORD, SCOTT PHILIP       
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: 905 S MAIN
SHATTUCK OK 73858
Phone #:
Fax #:
County: ELLIS
License: 450
Dated: 2/20/1985
Expires: 3/31/1987
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Void
Restricted to:
CME Year:
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.
Locations: Hours: Languages:
905 S MAIN
SHATTUCK OK 73858

Phone #:
Fax #:

Hospital Privileges:

None listed

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