Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

Return to Search Licensees page

SAMPLE, THEODORE G
Practice Address: 537 CROWN POINTE ESTATES COURT
WILDWOOD MO 63021-2012

Address last updated on 1/10/2020
Phone #: (314) 223-9285
Fax #:
County: NOT OKLAHOMA
License: 30362
Dated: 2/1/2014
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Pediatric Critical Care Medicine
Hospitalist
Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 6 / 1985
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
INTEGRIS Baptist Regional Health Ctr.
Miami, OK
Jane Phillips Medical Center
Bartlesville, OK
Locations: Hours: Languages:
537 CROWN POINTE ESTATES COURT
WILDWOOD MO 63021-2012

Phone #: (314) 223-9285
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
PO Box 453
33675 n 4470 rd
Ketchum, OK 74349

Phone #: (918) 782-9692
Fax #: (1) 201-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish
1235 e. cherokee
Pediatrics and
Pediatric Critical Care
springfield, MO 65804

Phone #: (417) 820-5400
Fax #: (9) 201-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish

Return to Search Licensees page