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Next Update: Thursday, December 19, 2024 12:00 PM CST
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CORDOVA, MICHAEL LLOYD
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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: |
501 E 15TH STE 400B
EDMOND OK 73013
Address last updated on 9/30/2002 |
| Phone #: |
(405) 340-2600 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
21869 |
| Dated: |
11/27/2000 |
| Expires: |
11/1/2005 |
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Training
Issued:
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7/1/1999 |
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Training
Expires:
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7/1/2001 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1999 |
| CME Year: |
2006 |
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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: |
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| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO |
| Hospital Privileges: |
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
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