FAGELL, DAVID WARREN - Licensee Information - Oklahoma Medical Board

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FAGELL, DAVID WARREN

Practice Address:	CORE 88 BLACK FALCON AVENUE SUITE 353 BOSTON MA 02210-2414
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	20973
Dated:	11/19/1998
Expires:	11/1/2001
License Type:	Medical Doctor
Specialty:	General Surgery

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduated:	6 / 1958
CME Year:	2001

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

5/3/2001

Reprimand

Board Filings and/or Orders:
05/03/2001

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF SURGERY
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
CORE 88 BLACK FALCON AVENUE SUITE 353 BOSTON MA 02210-2414 Phone #: Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
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