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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 17, 2024 7:03 PM CDT
Next Update: Saturday, May 18, 2024 2:50 AM CDT

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BIRDWELL, BRIAN GILLAM       
Practice Address: 415 W GORE BLVD
LAWTON OK 73501-3710

Address last updated on 6/17/2023
Phone #: (580) 248-9966
Fax #: (580) 248-6458
County: COMANCHE
License: 13900
Dated: 7/27/1982
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Occupational Medicine
Vascular Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1981
CME Year: 2024
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Southwestern Medical Center
Lawton, OK
Locations: Hours: Languages:
415 W GORE BLVD
LAWTON OK 73501-3710

Phone #: (580) 248-9966
Fax #: (580) 248-6458
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 12:00PM
Sat: CLOSED
Sun: 8:00AM - 4:00PM CLOSED
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MARY DERRICO APRN 49043
KATHERINE MOORE APRN 88772

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