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LOGUIDICE, VITO ANTHONY       
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: 1357 HEADLEE AVE
UNIT A
MORGANTOWN WV 26505
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 15826
Dated: 7/1/1986
Expires: 6/30/1987
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SUNY Upstate Med Univ, Syracuse, NY 13210
Graduated: 5 / 1981
CME Year:
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1357 HEADLEE AVE
UNIT A
MORGANTOWN WV 26505

Phone #:
Fax #:

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