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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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ADDISON, PAUL DAVIS
Practice Address: 4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120-8362

Address last updated on 10/10/2017
Phone #: (405) 752-3814
Fax #:
County: OKLAHOMA
License: 17535
Dated: 11/30/1990
Expires: 11/1/2018
Temp. Lic. Issued: 7/12/1990
Temp. Lic. Expires: 3/1/1991
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 11 / 1983
CME Year: 2018
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 PATHOLOGY (Anatomic/Clinical)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
St. Anthony Hospital (SSM Health)
Oklahoma City, OK
Locations: Hours: Languages:
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120-8362

Phone #: (405) 752-3814
Fax #:

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