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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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MAUCH, BRIAN GERALD
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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: |
5404 SW LEE BLVD
LAWTON OK 73507
Address last updated on 7/30/2024 |
| Phone #: |
(580) 248-5242 |
| Fax #: |
(580) 355-5245 |
| County: |
COMANCHE |
| License: |
41724 |
| Dated: |
8/29/2023 |
| Expires: |
8/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201 |
| Graduated: |
5 /
1993 |
| CME Year: |
2026 |
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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 PEDIATRICS |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Comanche County Memorial Hospital
Lawton, OK
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| Locations: |
Hours: |
Languages: |
5404 SW LEE BLVD
LAWTON OK 73507
Phone #:
(580) 248-5242
Fax #:
(580) 355-5245 |
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed:
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat:
Sun: |
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