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Next Update: Friday, September 27, 2024 2:50 AM CDT
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BONILLA, MARIO ANTONIO
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| Practice Address: |
1727 CHUCKWA
SUITE 400
DURANT OK 74701
Address last updated on 8/20/2012 |
| Phone #: |
(903) 465-3624 |
| Fax #: |
(903) 465-3973 |
| County: |
BRYAN |
| License: |
12480 |
| Dated: |
9/25/1979 |
| Expires: |
1/30/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Internal Medicine |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ De El Salvador, Fac De Med, San Salvador, El Salvador |
| Graduated: |
6 /
1971 |
| CME Year: |
2021 |
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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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
HealthChoice
Preferred Community Choice |
| Hospital Privileges: |
Medical Center of Southeastern OK
Durant, OK
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| Locations: |
Hours: |
Languages: |
1727 CHUCKWA
SUITE 400
DURANT OK 74701
Phone #:
(903) 465-3624
Fax #:
(903) 465-3973 |
Mon: 8:00AM - 5:30PM
Tue: 8:00AM - 5:30PM
Wed: 8:00AM - 5:30PM
Thu: 8:00AM - 5:30PM
Fri: 8:00AM - 12:00PM
Sat:
Sun: |
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