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CEBALLOS, RAUL JR.
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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: |
COMANCHE COUNTY MEMORIAL HSP
PO BOX 785
LAWTON OK 73502
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Phone #: |
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Fax #: |
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County: |
COMANCHE |
License: |
18304 |
Dated: |
1/8/1993 |
Expires: |
1/1/1999 |
Training
Issued:
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10/16/1992 |
Training
Expires:
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2/28/1993 |
License Type: |
Medical Doctor |
Specialty: |
Diagnostic Radiology
Other Specialty |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
UNIV OF PR SCH OF MED, SAN JUAN PR 00936 |
Graduated: |
6 /
1985 |
CME Year: |
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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 RADIOLOGY |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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