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Next Update: Thursday, December 19, 2024 2:50 AM CST
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WAGNER-MOGLE, CARMEN MARIA
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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: |
9101 MONTGOMERY BLVD. NE
ALBUQUERQUE NM 87111
Address last updated on 6/4/2002 |
| Phone #: |
(505) 275-4288 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
21968 |
| Dated: |
7/20/2001 |
| Expires: |
7/1/2004 |
| 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 TX Med Sch at Houston, Houston Tx 77225 |
| Graduated: |
5 /
2000 |
| CME Year: |
2004 |
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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: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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| Locations: |
Hours: |
Languages: |
9101 MONTGOMERY BLVD. NE
ALBUQUERQUE NM 87111
Phone #:
(505) 275-4288
Fax #:
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Mon: 8:00AM - 7:00PM
Tue: 8:00AM - 7:00PM
Wed: 8:00AM - 7:00PM
Thu: 8:00AM - 7:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 3:00PM |
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