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DE LA ROSA, RAYMOND ESTRELLA       
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: SPARKS ENDOCRINOLOGY CTR
1500 DODSON AVENUE STE 185
FORT SMITH AR 72901

Address last updated on 7/18/2002
Phone #: (479) 709-7446
Fax #:
County: NOT OKLAHOMA
License: 20900
Dated: 9/16/1998
Expires: 9/1/2004
License Type: Medical Doctor
Specialty: Internal Medicine
Endocrinology, Diabetes and Metabolism
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of The Philippines Sys, Coll Of Med, Manila, Philippines
Graduated: 4 / 1989
CME Year: 2004
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: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SPARKS ENDOCRINOLOGY CTR
1500 DODSON AVENUE STE 185
FORT SMITH AR 72901

Phone #: (479) 709-7446
Fax #:

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