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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT

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WALL, RAYMOND LOUIS
Practice Address: 1110 MAGNOLIA COURT
MOORE OK 73160

Address last updated on 5/5/2023
Phone #: (405) 877-3128
Fax #: (405) 877-3162
County: CLEVELAND
License: 15347
Dated: 7/1/1985
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Family 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 / 1984
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1110 MAGNOLIA COURT
MOORE OK 73160

Phone #: (405) 877-3128
Fax #: (405) 877-3162
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHRISTI RENAE DEWITT PA 1506

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