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Oklahoma Board of Medical Licensure and Supervision

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WOLF, STEPHEN PAUL
Practice Address: 6205 NORTH SANTA FE #201
OKLAHOMA CITY OK 73118

Address last updated on 7/24/2009
Phone #: (405) 425-8509
Fax #: (405) 810-4989
County: OKLAHOMA
License: 17827
Dated: 8/13/1991
Expires: 8/1/2010
Training Issued: 7/16/1991
Training Expires: 10/5/1991
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 / 1988
CME Year: 2012
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/3/2011 Surrendered License
Board Filings and/or Orders:
01/06/2012
09/23/2011
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: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Deaconess Campus (fmly Deaconess Hospital)
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
6205 NORTH SANTA FE #201
OKLAHOMA CITY OK 73118

Phone #: (405) 425-8509
Fax #: (405) 810-4989
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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