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GONZALEZ FELDMAN, EDGARD IVAN       
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: CARDIOLOGY CLINIC OF MUSKOGEE
350 SOUTH 40TH STREET
MUSKOGEE OK 74401-0753

Address last updated on 9/16/2011
Phone #: (918) 683-0753
Fax #:
County: MUSKOGEE
License: 27484
Dated: 11/19/2009
Expires: 11/1/2012
License Type: Medical Doctor
Specialty: Internal Medicine
Endocrinology, Diabetes and Metabolism
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Peruana Cayetano Heredia, Prog Acad De Med, Lima, Peru
Graduated: 4 / 1999
CME Year: 2012
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Endocrinology, Diabetes and Metabolism
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CARDIOLOGY CLINIC OF MUSKOGEE
350 SOUTH 40TH STREET
MUSKOGEE OK 74401-0753

Phone #: (918) 683-0753
Fax #:

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