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MADRID, LUIS JOE       
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: PO BOX 36
LA JARA CO 81140
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16941
Dated: 7/1/1989
Expires: 7/1/1997
Training Issued: 9/29/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Psychiatry
General Practice
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated: 6 / 1987
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:
PO BOX 36
LA JARA CO 81140

Phone #:
Fax #:

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