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Last Update: Friday, March 29, 2024 3:59 AM CDT
Next Update: Friday, March 29, 2024 12:00 PM CDT
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HADDAD, PHILLIP ANTHONY |
Practice Address: |
SHAWNEE MEDICAL CENTER CLINIC
3315 KETHLEY ROAD
SHAWNEE OK 74804-9638
Address last updated on 6/6/2023 |
Phone #: |
(405) 273-5801 |
Fax #: |
(405) 878-3805 |
County: |
POTTAWATOMIE |
License: |
17395 |
Dated: |
7/19/1990 |
Expires: |
7/1/2024 |
Training
Issued:
|
6/8/1989 |
Training
Expires:
|
9/30/1990 |
License Type: |
Medical Doctor |
Specialty: |
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Internal 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: |
5 /
1989 |
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 - Pulmonary Disease |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
|
|
HMO/PPO: |
None listed |
Hospital Privileges: |
St. Anthony Shawnee Hospital (fmly Unity Health Ctr) (SSM Health)
Shawnee, OK
|
|
|
Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
MARK LEROY DAVIS
|
PA |
801 |
|
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