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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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RIVERA MAZA, MANUEL GERARDO       
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: CARDIOVASCULAR DIVISION WASHINGTON UNIVERSITY
660 S. EUCLID AVE MSC 8086-43-13
SAINT LOUIS MO 63110

Address last updated on 1/1/2024
Phone #: (314) 482-1889
Fax #:
County: NOT OKLAHOMA
License: 40511
Dated: 1/19/2023
Expires: 1/1/2024
License Type: Medical Doctor
Specialty: Interventional Cardiology
Internal Medicine
Cardiovascular Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Dr Jose Matias Delgado, Fac de Cien de la Salud, Merliot, El Salvador
Graduated: 6 / 2013
CME Year: 2026
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CARDIOVASCULAR DIVISION WASHINGTON UNIVERSITY
660 S. EUCLID AVE MSC 8086-43-13
SAINT LOUIS MO 63110

Phone #: (314) 482-1889
Fax #:

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