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GONZALES, GENE GATCHALIAN       
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: MOUNTAINLAND PEDIATRICS
8300 ALCOTT STREET
SUITE 100
WESTMINSTER CO 80030
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18262
Dated: 9/28/1992
Expires: 6/30/1994
Training Issued: 7/2/1992
Training Expires: 11/1/1992
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 3 / 1980
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:
MOUNTAINLAND PEDIATRICS
8300 ALCOTT STREET
SUITE 100
WESTMINSTER CO 80030

Phone #:
Fax #:

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