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Next Update: Thursday, December 19, 2024 2:50 AM CST
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CONSTANCE, DANIEL GLENN
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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: |
MEMORIAL MEDICAL GROUP
110 NW 31ST STREET
2ND FLOOR
LAWTON OK 73505
Address last updated on 9/3/2024 |
| Phone #: |
(580) 357-3671 |
| Fax #: |
(580) 357-1256 |
| County: |
COMANCHE |
| License: |
26711 |
| Dated: |
11/13/2008 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Sports Medicine (Family Practice)
Geriatric Medicine (Internal Medicine) |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
St George's Univ, Sch Of Med, St George's, Grenada |
| Graduated: |
5 /
2003 |
| CME Year: |
2026 |
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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: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
Comanche County Memorial Hospital
Lawton, OK
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