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CORDOVA, CHARLOTTE BUSH       
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: CORDOVA FAMILY PHYSICIANS
501 E 15TH STE 400B
EDMOND OK 73013

Address last updated on 8/8/2002
Phone #: (405) 340-2600
Fax #:
County: OKLAHOMA
License: 22657
Dated: 9/27/2001
Expires: 9/1/2005
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1999
CME Year: 2007
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
Locations: Hours: Languages:
CORDOVA FAMILY PHYSICIANS
501 E 15TH STE 400B
EDMOND OK 73013

Phone #: (405) 340-2600
Fax #:
Mon: 8:00AM - 4:30PM closed for lunch 12-1
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM

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