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Last Update: Friday, September 20, 2024 1:26 PM CDT
Next Update: Friday, September 20, 2024 4:30 PM CDT
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WALLER, MARK WILLIAMS
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Practice Address: |
OLYMPIA ANESTHESIA SERVICES
44065 E 221ST ST S
PORTER OK 74454
Address last updated on 5/8/2024 |
Phone #: |
(918) 671-1475 |
Fax #: |
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County: |
WAGONER |
License: |
18067 |
Dated: |
7/1/1992 |
Expires: |
7/1/2025 |
Training
Issued:
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6/22/1991 |
Training
Expires:
|
7/1/1992 |
License Type: |
Medical Doctor |
Specialty: |
Anesthesiology |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
6 /
1991 |
CME Year: |
2027 |
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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.
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Certifications: |
AMERICAN BOARD OF ANESTHESIOLOGY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
Hospital Privileges: |
Tulsa Spine & Specialty Hospital
Tulsa, OK
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