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DECLAN, ARWEN BEATRICE LONG       
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: ST MARY CORWIN HOSPITAL
EMERGENCY DEPARTMENT
1008 MINNEQUA AVE
PUEBLO CO 81004

Address last updated on 7/10/2017
Phone #: (719) 299-1362
Fax #:
County: NOT OKLAHOMA
License: 31965
Dated: 1/5/2016
Expires: 1/1/2018
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduated: 5 / 2010
CME Year: 2019
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:
ST MARY CORWIN HOSPITAL
EMERGENCY DEPARTMENT
1008 MINNEQUA AVE
PUEBLO CO 81004

Phone #: (719) 299-1362
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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