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Next Update: Sunday, April 28, 2024 2:50 AM CDT
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|
WALLACE, JIMMY BYRON |
| Practice Address: |
1414 ARLINGTON
ADA OK 74820
Address last updated on 5/22/2009 |
| Phone #: |
(580) 436-9088 |
| Fax #: |
(580) 436-0035 |
| County: |
PONTOTOC |
| License: |
8279 |
| Dated: |
6/17/1964 |
| Expires: |
6/1/2009 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
|
| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
/
1964 |
| CME Year: |
2010 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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