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MOLOGNE, STUART BLAIR       
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: PO BOX 1059
BOISE CITY OK 73933
Phone #:
Fax #:
County: CIMARRON
License: 20131
Dated: 5/15/1997
Expires: 5/1/1998
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Special License
Restricted to:
Registered to Dispense: NO
Medical School: MEXICO MEDICAL SCHOOLS
Graduated: 6 / 1987
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:
PO BOX 1059
BOISE CITY OK 73933

Phone #:
Fax #:

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