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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT
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|
HADDAD, PHILLIP ANTHONY |
| Practice Address: |
SHAWNEE MEDICAL CENTER CLINIC
3315 KETHLEY ROAD
SHAWNEE OK 74804-9638
Address last updated on 6/6/2023 |
| Phone #: |
(405) 273-5801 |
| Fax #: |
(405) 878-3805 |
| County: |
POTTAWATOMIE |
| License: |
17395 |
| Dated: |
7/19/1990 |
| Expires: |
7/1/2024 |
|
Training
Issued:
|
6/8/1989 |
|
Training
Expires:
|
9/30/1990 |
| License Type: |
Medical Doctor |
| Specialty: |
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1989 |
| CME Year: |
2024 |
|
|
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 - Pulmonary Disease |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
St. Anthony Shawnee Hospital (fmly Unity Health Ctr) (SSM Health)
Shawnee, OK
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Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
MARK LEROY DAVIS
|
PA |
801 |
|
|
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