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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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GORONGA, TATENDA       
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: FORT MADISON PHYSICIANS AND SURGEONS
5409 AVENUE O PO BOX 1470
FORT MADISON IA 52627

Address last updated on 12/10/2020
Phone #: (319) 376-2134
Fax #: (319) 376-2188
County: NOT OKLAHOMA
License: 31492
Dated: 7/1/2017
Expires: 7/1/2021
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Windsor Univ, Basseterre, St Kitts & Nevis
Graduated: 1 / 2015
CME Year: 2023
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FORT MADISON PHYSICIANS AND SURGEONS
5409 AVENUE O PO BOX 1470
FORT MADISON IA 52627

Phone #: (319) 376-2134
Fax #: (319) 376-2188
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