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ORTEGA, JUAN B       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 501 7TH STREET
PO BOX 1029
LAS VEGAS NM 87701

Address last updated on 12/23/1999
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 10918
Dated: 7/12/1976
Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Urology
General Practice
General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: GUATEMALA MEDICAL SCHOOLS
Graduated: / 1969
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF UROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
501 7TH STREET
PO BOX 1029
LAS VEGAS NM 87701

Phone #:
Fax #:

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