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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST
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KRUCKNER, DOUGLAS LEE
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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: |
700 SUGAR CREEK DR.
HINTON OK 73047
Address last updated on 4/15/2024 |
Phone #: |
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Fax #: |
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County: |
CADDO |
License: |
39019 |
Dated: |
5/12/2022 |
Expires: |
5/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Family Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
AGREEMENT |
Registered to Dispense: |
NO |
Medical School: |
Rutgers Robt W Johnson Med Sch, (fmly UMDNJ) |
Graduated: |
5 /
2002 |
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: |
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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: |
700 SUGAR CREEK DR.
HINTON OK 73047
Phone #:
Fax #:
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Mon: 7:00AM - 5:00PM Tue: 7:00AM - 5:00PM Wed: 7:00AM - 5:00PM Thu: 7:00AM - 5:00PM Fri: Sat: Sun: |
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