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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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CAGUNGUN, JULIO MASANGKAY JR       
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: ST MADRON MEDICAL CLINIC
205 EAST RAY FINE BLVD
ROLAND OK 74954

Address last updated on 12/4/2015
Phone #:
Fax #: (918) 503-6239
County: SEQUOYAH
License: 13638
Dated: 5/17/1982
Expires: 1/14/2017
License Type: Medical Doctor
Specialty: General Practice
General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Manila Central Univ, Coll Of Med, Caloocan City, Rizal, Philippines
Graduated: 5 / 1965
CME Year: 2019
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST MADRON MEDICAL CLINIC
205 EAST RAY FINE BLVD
ROLAND OK 74954

Phone #:
Fax #: (918) 503-6239

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