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MUMERT, DONNA JEAN
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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: |
310 2ND AVE SW
MIAMI OK 74354
Address last updated on 2/9/2015 |
| Phone #: |
(918) 540-7833 |
| Fax #: |
(918) 540-7857 |
| County: |
OTTAWA |
| License: |
30850 |
| Dated: |
8/1/2014 |
| Expires: |
8/1/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Alberta, Fac Of Med, Edmonton, Alb, Canada |
| Graduated: |
5 /
1992 |
| CME Year: |
2017 |
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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: |
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| 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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| Locations: |
Hours: |
Languages: |
310 2ND AVE SW
MIAMI OK 74354
Phone #:
(918) 540-7833
Fax #:
(918) 540-7857 |
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 12:00PM
Sat:
Sun: |
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