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Next Update: Thursday, December 19, 2024 2:50 AM CST
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WAGNON, MARION CAROL
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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: |
1405 LAMPLIGHTER LANE
EDMOND OK 73034-4935
Address last updated on 10/14/2011 |
| Phone #: |
(405) 715-1554 |
| Fax #: |
(405) 715-1787 |
| County: |
OKLAHOMA |
| License: |
7598 |
| Dated: |
6/1/1961 |
| Expires: |
6/1/2012 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
/
1960 |
| CME Year: |
2013 |
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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: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
CIGNA HMO
CIGNA PPO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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