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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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MONTGOMERY, ROGER CLARK
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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: |
19600 EAST ROSS ST.
TAHLEQUAH OK 74464
Address last updated on 4/14/2023 |
| Phone #: |
(539) 234-1000 |
| Fax #: |
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| County: |
CHEROKEE |
| License: |
17227 |
| Dated: |
5/10/1990 |
| Expires: |
5/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Harvard Med Sch, Boston Ma 02115 |
| Graduated: |
6 /
1985 |
| CME Year: |
2024 |
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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 INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital Not Listed
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| Locations: |
Hours: |
Languages: |
19600 EAST ROSS ST.
TAHLEQUAH OK 74464
Phone #:
(539) 234-1000
Fax #:
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Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: |
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