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Last Update: Thursday, May 2, 2024 10:58 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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IVINS, DOUGLAS JOHN
Practice Address: ERNEST CHILDER VA OUTPATIENT CLINIC
8921 SOUTH MINGO ROAD
TULSA OK 74133

Address last updated on 9/6/2023
Phone #: (918) 628-2500
Fax #:
County: TULSA
License: 23164
Dated: 10/28/2002
Expires: 10/1/2024
Temp. Lic. Issued: 9/26/2002
Temp. Lic. Expires: 11/24/2002
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers Robt W Johnson Med Sch, (fmly UMDNJ)
Graduated: 5 / 1995
CME Year: 2026
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 FAMILY MEDICINE
AMERICAN BOARD OF PREVENTIVE MEDICINE - Clinical Informatics
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ERNEST CHILDER VA OUTPATIENT CLINIC
8921 SOUTH MINGO ROAD
TULSA OK 74133

Phone #: (918) 628-2500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AUTUMN RENAE ACKERMAN PA 1529
SHANNON DENISE IJAMS PA 906

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