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Last Update: Thursday, May 16, 2024 4:48 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT
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GRANTHAM, DALE COURTNEY
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| Practice Address: |
1712 TYLER ST.
ALTUS OK 73521
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| Phone #: |
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| Fax #: |
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| County: |
JACKSON |
| License: |
13608 |
| Dated: |
5/17/1982 |
| Expires: |
6/30/1985 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tulane Univ Sch Of Med, New Orleans La 70112 |
| Graduated: |
6 /
1979 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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