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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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RACZKOWSKI, CARL ANDREW       
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: DIGESTIVE DISEASE SPECALIST
3366 NW EXPRESSWAY #300
OKLAHOMA CITY OK 73112-1644

Address last updated on 6/3/2024
Phone #: (405) 702-1300
Fax #: (405) 702-1293
County: OKLAHOMA
License: 17684
Dated: 7/1/1991
Expires: 7/1/2025
Training Issued: 6/21/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Gastroenterology
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1990
CME Year: 2027
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: AMERICAN BOARD OF INTERNAL MEDICINE - Gastroenterology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
Locations: Hours: Languages:
DIGESTIVE DISEASE SPECALIST
3366 NW EXPRESSWAY #300
OKLAHOMA CITY OK 73112-1644

Phone #: (405) 702-1300
Fax #: (405) 702-1293
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MISTY DEAN APRN 67385
KAYLEE DAWN KNOWLES PA 5338

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