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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 4:03 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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DAVIS, GARY RANDOLPH
Practice Address: 205 E PINE
TULSA OK 74106-4855

Address last updated on 7/20/2005
Phone #:
Fax #: (918) 584-4457
County: TULSA
License: 14589
Dated: 1/14/1984
Expires: 1/1/2002
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Dartmouth Med, Hanover Nh 03755
Graduated: 6 / 1977
CME Year: 2004
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
09/10/1987
09/05/1986
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
205 E PINE
TULSA OK 74106-4855

Phone #:
Fax #: (918) 584-4457

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