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Next Update: Saturday, May 18, 2024 12:00 PM CDT

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BLACKSHAW, DAVID GLENN       
Practice Address: 4300 N LINCOLN BLVD
OKLAHOMA CITY OK 73105

Address last updated on 6/13/2023
Phone #: (405) 425-0383
Fax #:
County: OKLAHOMA
License: 16528
Dated: 7/1/1988
Expires: 7/1/2024
Training Issued: 8/31/1987
Training Expires: 9/30/1988
License Type: Medical Doctor
Specialty: Addiction Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 7 / 1987
CME Year: 2024
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
7/20/2017 Probation Ended
11/6/2014 Modification Order
5/17/2012 Probation
3/16/2012 Complaint Citation
2/17/2012 Suspension, License
Board Filings and/or Orders:
08/09/2017
11/10/2014
05/17/2012
03/16/2012
03/16/2012
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4300 N LINCOLN BLVD
OKLAHOMA CITY OK 73105

Phone #: (405) 425-0383
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LIZBER BRYAN APRN 2081
AMY GONZALEZ APRN 131471
DEBRA MCCULLOCK APRN 47643
MICHAEL SCAMMAHORN APRN 81026

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