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Last Update: Sunday, May 5, 2024 1:39 PM CDT
Next Update: Sunday, May 5, 2024 4:30 PM CDT
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|
ELLIOTT, MICHAEL STEPHEN |
| Practice Address: |
MERCY CLINIC EDMOND WATERLOO
301 EAST WATERLOO ROAD
EDMOND OK 73034
Address last updated on 6/13/2022 |
| Phone #: |
(405) 715-2000 |
| Fax #: |
(405) 715-2010 |
| County: |
OKLAHOMA |
| License: |
19806 |
| Dated: |
7/11/1996 |
| Expires: |
7/1/2024 |
|
Training
Issued:
|
7/6/1995 |
|
Training
Expires:
|
8/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine/Pediatrics |
|
| 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 /
1995 |
| 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
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
No |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
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Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
KYLE NATHAN LIPKE
|
PA |
1667 |
|
|
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