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Oklahoma Board of Medical Licensure and Supervision

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MAZE, ABIGAIL SUZANNE       
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: OKLAHOMA UNIVERSITY - HSC
BIOMEDICAL SCENICES BDG ROOM 357
OKLAHOMA CITY OK 73126-0901

Address last updated on 12/16/2014
Phone #: (405) 271-2265 x48522
Fax #:
County: OKLAHOMA
License: 27120
Dated: 1/8/2013
Expires: 1/1/2016
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2009
CME Year: 2016
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA UNIVERSITY - HSC
BIOMEDICAL SCENICES BDG ROOM 357
OKLAHOMA CITY OK 73126-0901

Phone #: (405) 271-2265 x48522
Fax #:

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