GODISH, MARK THAD - Licensee Information

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Last Update: Monday, April 29, 2024 11:28 AM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

GODISH, MARK THAD

Practice Address:	MERCY PULMONARY MEDICINE CLINIC 13313 N. MERIDIAN BUILDING D OKLAHOMA CITY OK 73120 Address last updated on 7/14/2023
Phone #:	(405) 755-4290
Fax #:
County:	OKLAHOMA
License:	28468
Dated:	8/10/2011
Expires:	8/1/2024
Temp. Lic. Issued:	7/29/2011
Temp. Lic. Expires:	9/17/2011
License Type:	Medical Doctor
Specialty:	Pulmonary Critical Care Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	IN Univ Sch Of Med, Indianapolis In 46202
Graduated:	5 / 2004
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 INTERNAL MEDICINE AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Mercy Hospital OKC Oklahoma City, OK

Locations:	Hours:	Languages:
MERCY PULMONARY MEDICINE CLINIC 13313 N. MERIDIAN BUILDING D OKLAHOMA CITY OK 73120 Phone #: (405) 755-4290 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun: