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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DIEHL, MARK ALLEN
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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: |
4221 S. WESTERN SUITE 3030
OKLAHOMA CITY OK 73109
Address last updated on 5/3/2017 |
| Phone #: |
(405) 644-5143 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
13752 |
| Dated: |
7/1/1982 |
| Expires: |
7/1/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1981 |
| CME Year: |
2018 |
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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 FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CommunityCare HMO, Inc
First Health
Great West Healthcare
HealthChoice
PacifiCare of Oklahoma, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
INTEGRIS Southwest Medical Center
Oklahoma City, OK
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