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Next Update: Friday, May 3, 2024 2:50 AM CDT
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|
LESLIE, PORTER BASS |
| Practice Address: |
412 S WELLS
VICI OK 73859
Address last updated on 3/30/2010 |
| Phone #: |
(580) 995-3200 |
| Fax #: |
(580) 995-3202 |
| County: |
DEWEY |
| License: |
10616 |
| Dated: |
8/11/1975 |
| Expires: |
6/29/2011 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice
Emergency Medicine |
|
| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
Agreement not to practice |
| Registered to Dispense: |
NO |
| Medical School: |
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
| Graduated: |
12 /
1972 |
| CME Year: |
2012 |
|
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Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| #1/1/1900# |
Past Disciplinary Action |
|
|
| #1/1/1900# |
Past Disciplinary Action |
|
|
| #1/1/1900# |
Past Disciplinary Action |
|
|
| #1/1/1900# |
Past Disciplinary Action |
|
|
| #1/1/1900# |
Past Disciplinary Action |
|
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Board Filings and/or Orders:
05/09/2002
11/21/1992
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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: |
HealthChoice
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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