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Next Update: Friday, December 27, 2024 2:50 AM CST
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BODENHAMER, ROBERT MARK
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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.
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Practice Address: |
4050 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120
Address last updated on 5/2/2022 |
Phone #: |
(405) 608-3927 |
Fax #: |
(405) 608-3838 |
County: |
OKLAHOMA |
License: |
12800 |
Dated: |
7/10/1980 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
SURGERY, CARDIOVASCULAR
Vascular Surgery
SURGERY, THORACIC |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
6 /
1979 |
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 THORACIC SURGERY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
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