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Oklahoma Board of Medical Licensure and Supervision

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

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ROGOW, MARK RICHARD       
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: 107685 S 4770 RD
ROLAND OK 74954-5052

Address last updated on 5/31/2024
Phone #: (918) 315-8770
Fax #: (918) 315-8770
County: SEQUOYAH
License: 27009
Dated: 6/26/2009
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 6 / 1987
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:
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
107685 S 4770 RD
ROLAND OK 74954-5052

Phone #: (918) 315-8770
Fax #: (918) 315-8770
Mon: 12:00PM - 7:00PM
Tue: 12:00PM - 7:00PM
Wed: 12:00PM - 7:00PM
Thu: 12:00PM - 7:00PM
Fri: 12:00PM - 7:00PM
Sat: 12:00PM - 4:00PM
Sun:

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