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MOORE, JOHN ROGER IV       
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: PINEHURST SURGICAL CENTER
35 MEMORIAL DRIVE
PINEHURST NC 28374

Address last updated on 7/30/2001
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 20176
Dated: 7/1/1997
Expires: 7/1/2001
Training Issued: 7/1/1996
Training Expires: 7/1/1997
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduated: 5 / 1995
CME Year: 2003
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:
PINEHURST SURGICAL CENTER
35 MEMORIAL DRIVE
PINEHURST NC 28374

Phone #:
Fax #:

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