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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, May 19, 2024 12:00 PM CDT

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ROTH, RUSSELL BLANCHARD       
Practice Address: 3401 W BROADWAY
MUSKOGEE WOMENS CLINIC
MUSKOGEE OK 74401

Address last updated on 5/7/2015
Phone #: (918) 687-5477
Fax #: (918) 687-5481
County: MUSKOGEE
License: 10502
Dated: 5/12/1975
Expires: 5/1/2015
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: / 1969
CME Year: 2016
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 OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
CIGNA PPO
HealthChoice
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
United Healthcare Options PPO
Hospital Privileges: Muskogee Community Hospital
Muskogee, OK
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
Locations: Hours: Languages:
3401 W BROADWAY
MUSKOGEE WOMENS CLINIC
MUSKOGEE OK 74401

Phone #: (918) 687-5477
Fax #: (918) 687-5481
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: RETIRED

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