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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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SOLITARIO, EDNA CALICA
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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: |
3201 WEST GORE BLVD #100
SUITE 100
LAWTON OK 73505
Address last updated on 9/9/2024 |
Phone #: |
(580) 353-8942 |
Fax #: |
(580) 353-5008 |
County: |
COMANCHE |
License: |
19988 |
Dated: |
10/16/1996 |
Expires: |
10/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Pediatrics
Pediatric Endocrinology |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
PHILIPPINE MEDICAL SCHOOLS |
Graduated: |
5 /
1979 |
CME Year: |
2027 |
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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 PEDIATRICS |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
No |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner |
Hospital Privileges: |
Comanche County Memorial Hospital
Lawton, OK
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Locations: |
Hours: |
Languages: |
3201 WEST GORE BLVD #100
SUITE 100
LAWTON OK 73505
Phone #:
(580) 353-8942
Fax #:
(580) 353-5008 |
Mon: 8:30AM - 5:30PM Tue: 8:30AM - 5:30PM Wed: 8:30AM - 5:30PM Thu: 8:30AM - 5:30PM Fri: 8:30AM - 5:30PM Sat: CLOSE Sun: 8:30AM - 5:30PM CLOSE |
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