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Last Update: Sunday, May 5, 2024 1:39 PM CDT
Next Update: Sunday, May 5, 2024 4:30 PM CDT
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LEADER, MERVIN NIGEL |
Practice Address: |
844 CR 2150 E
FAIRFIELD IL 62837
Address last updated on 3/25/2024 |
Phone #: |
(479) 259-8855 |
Fax #: |
|
County: |
NOT OKLAHOMA |
License: |
33206 |
Dated: |
9/21/2017 |
Expires: |
9/1/2023 |
License Type: |
Medical Doctor |
Specialty: |
Psychiatry |
|
Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
|
Registered to Dispense: |
NO |
Medical School: |
Univ Of KY Coll Of Med, Lexington Ky 40536 |
Graduated: |
5 /
1986 |
CME Year: |
2023 |
|
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 PSYCHIATRY AND NEUROLOGY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
|
|
HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CCN Managed Care
CIGNA HMO
CIGNA PPO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare HMO |
Hospital Privileges: |
Hospital Not Listed
,
|
|
|
Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
ERIN HAYTAIAN
|
APRN |
123872 |
|
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