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Oklahoma Board of Medical Licensure and Supervision

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BUENDIA, IMELDA BERNARDO       
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: EL RENO INDIAN CLINIC
1631 A EAST HIGHWAY 66
EL RENO OK 73036-5769

Address last updated on 7/6/2010
Phone #: (405) 262-7631
Fax #: (405) 262-8099
County: CANADIAN
License: 11472
Dated: 9/15/1977
Expires: 9/1/2012
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: / 1969
CME Year: 2012
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EL RENO INDIAN CLINIC
1631 A EAST HIGHWAY 66
EL RENO OK 73036-5769

Phone #: (405) 262-7631
Fax #: (405) 262-8099

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