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LONG, DONNA R.
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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: |
MERCY SAFEWATCH
625 SOUTH NEW BALLAS #R-7055
ST LOUIS MO 63141
Address last updated on 6/9/2013 |
| Phone #: |
(314) 251-1376 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
29165 |
| Dated: |
7/9/2012 |
| Expires: |
7/1/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Critical Care Medicine (Internal Medicine)
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
MI STATE UNIV COLL HUMAN MED, EAST LANSING MI 48824 |
| Graduated: |
6 /
1990 |
| CME Year: |
2015 |
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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
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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