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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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|
WALLER, MARK WILLIAMS |
| Practice Address: |
OLYMPIA ANESTHESIA SERVICES
44065 E 221ST ST S
PORTER OK 74454
Address last updated on 6/22/2023 |
| Phone #: |
(918) 671-1475 |
| Fax #: |
|
| County: |
WAGONER |
| License: |
18067 |
| Dated: |
7/1/1992 |
| Expires: |
7/1/2024 |
|
Training
Issued:
|
6/22/1991 |
|
Training
Expires:
|
7/1/1992 |
| License Type: |
Medical Doctor |
| Specialty: |
Anesthesiology |
|
| 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 /
1991 |
| 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 ANESTHESIOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Tulsa Spine & Specialty Hospital
Tulsa, OK
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