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WONG, CARSON       
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: MARIETTA MEMORIAL HOSPITAL DEPARTMENT OF UROLOGY
400 MATTHEW STREET SUITE 303
MARIETTA OH 45750

Address last updated on 9/4/2023
Phone #: (740) 373-7828
Fax #: (740) 373-5898
County: NOT OKLAHOMA
License: 23694
Dated: 11/1/2003
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Western Ontario, Fac Of Med, London, Ont, Canada
Graduated: 6 / 1995
CME Year: 2027
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
MARIETTA MEMORIAL HOSPITAL DEPARTMENT OF UROLOGY
400 MATTHEW STREET SUITE 303
MARIETTA OH 45750

Phone #: (740) 373-7828
Fax #: (740) 373-5898
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
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