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Oklahoma Board of Medical Licensure and Supervision

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MARUENDA, JAVIER       
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: 12601 NORTH PENN #167
OKLAHOMA CITY OK 73120
Phone #:
Fax #:
County: OKLAHOMA
License: 21166
Dated: 6/25/1999
Expires: 5/26/2001
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: PERU MEDICAL SCHOOLS
Graduated: 4 / 1988
CME Year: 2002
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
12601 NORTH PENN #167
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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