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RUIZ, HERNAN GONZALO       
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: NAVAL HOSPITAL CAMP PENDLETON
FLEET MARINE FORCE 3RD MAW
MED CLINIC USMC AIR ST EL TORO
SANTA ANA CA 92709
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16794
Dated: 9/15/1995
Expires: 9/1/1997
License Type: Medical Doctor
Specialty: Aerospace Medicine
General Practice
Status: Inactive
Status Class: Special License
Restricted to: FEDERAL PRISON SYSTEM
Registered to Dispense: NO
Medical School: ECUADOR MEDICAL SCHOOLS
Graduated: 7 / 1969
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:
NAVAL HOSPITAL CAMP PENDLETON
FLEET MARINE FORCE 3RD MAW
MED CLINIC USMC AIR ST EL TORO
SANTA ANA CA 92709

Phone #:
Fax #:

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