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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

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SELF, PHILIP MARK
Practice Address: 410 4TH ST
SUITE G
ALVA OK 73717-2363

Address last updated on 4/4/2022
Phone #: (580) 327-5442
Fax #: (580) 327-2207
County: WOODS
License: 14793
Dated: 6/30/1984
Expires: 9/30/2022
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1983
CME Year: 2025
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: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Share Medical Center
Alva, OK
Locations: Hours: Languages:
410 4TH ST
SUITE G
ALVA OK 73717-2363

Phone #: (580) 327-5442
Fax #: (580) 327-2207
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 0:00PM
Sat:
Sun:

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