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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MIGLIACCIO, JOHN HENDREN       
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: 1400 S.E. ADAMS
IDABEL OK 74745-5203

Address last updated on 4/10/2024
Phone #: (903) 556-5976
Fax #: (580) 245-7023
County: MCCURTAIN
License: 12763
Dated: 6/17/1980
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1979
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/3/2005 Dismiss with Prejudice
8/8/2005 Complaint Citation
11/19/1994 Probation Ended
10/2/1993 Modification Order
5/15/1993 Probation
5/15/1993 Suspension, License
Board Filings and/or Orders:
11/03/2005
08/04/2005
08/04/2005
11/19/1994
08/18/1994
10/02/1993
05/14/1993
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1400 S.E. ADAMS
IDABEL OK 74745-5203

Phone #: (903) 556-5976
Fax #: (580) 245-7023
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish

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