BOGLE, MISTY MARIE - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

BOGLE, MISTY MARIE

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:	BLANCHARD DIRECT HEALTH 101 N JEFFERSON BLANCHARD OK 73010 Address last updated on 6/11/2024
Phone #:	(405) 201-3381
Fax #:
County:	OKLAHOMA
License:	26402
Dated:	7/1/2009
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 2008
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 FAMILY MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	SSM Health St. Anthony Hospital - OKC Oklahoma City, OK

Locations:	Hours:	Languages:
BLANCHARD DIRECT HEALTH 101 N JEFFERSON BLANCHARD OK 73010 Phone #: (405) 201-3381 Fax #:	Mon: 8:30AM - 4:30PM Tue: 8:30AM - 4:30PM Wed: 8:30AM - 4:30PM Thu: 8:30AM - 4:30PM Fri: 8:30AM - 4:30PM Sat: Sun:
Image and Soul 101 N Jefferson Blanchard, OK 73010 Phone #: (405) 485-2075 Fax #: (11) 201-	Mon: Tue: Wed: Thu: 1:00PM - 5:00PM Cosmetic procedures Fri: 9:00AM - 5:00PM cosmetic procedures Sat: Sun:

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