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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DEBLOCK, HEIDI FRUTCHY
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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: |
2411 DULLES CORNER PARK
SUITE 475
HERNDON VA 20171
Address last updated on 12/23/2021 |
| Phone #: |
(866) 483-9690 |
| Fax #: |
(786) 672-6008 |
| County: |
NOT OKLAHOMA |
| License: |
34434 |
| Dated: |
1/10/2019 |
| Expires: |
1/1/2023 |
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Temp.
Lic.
Issued:
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12/27/2018 |
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Temp.
Lic.
Expires:
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3/7/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Critical Care 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: |
Univ at Buffalo Sch of Med and Biomedical Sci, SUNY, Buffalo, NY |
| Graduated: |
6 /
1990 |
| CME Year: |
2025 |
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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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