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DAVIDSON, RUSSELL ALLEN
Practice Address: 905 C TORTOISE DRIVE
LAWTON OK 73507
Phone #:
Fax #:
County: COMANCHE
License: 20055
Dated: 1/13/1997
Expires: 1/1/1999
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Med Univ Of SC Coll Of Med, Charleston Sc 29425
Graduated: 5 / 1995
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
905 C TORTOISE DRIVE
LAWTON OK 73507

Phone #:
Fax #:

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