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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 6:57 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

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GAUTHIER, WILFRED STEPHAN JR
Practice Address: 921 14TH N W
ARDMORE OK 73401

Address last updated on 8/22/2013
Phone #: (580) 223-5311
Fax #: (580) 223-8227
County: CARTER
License: 8543
Dated: 10/3/1966
Expires: 10/1/2014
License Type: Medical Doctor
Specialty: General Surgery
Occupational Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1965
CME Year: 2015
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 SURGERY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Preferred Community Choice
Hospital Privileges: Mercy Memorial Health Center, Inc.
Ardmore, OK
Locations: Hours: Languages:
921 14TH N W
ARDMORE OK 73401

Phone #: (580) 223-5311
Fax #: (580) 223-8227
Mon: 8:30AM - 5:30PM
Fri: 8:30AM - 5:30PM

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