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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Friday, December 27, 2024 2:50 AM CST

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BOGARDUS, CARL ROBERT JR       
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: OU PHYSICIANS
RADIATION ONCOLOGY DEPARTMENT
800 NE TENTH STREET OKCC L 100
OKLAHOMA CITY OK 73104-5417

Address last updated on 4/18/2017
Phone #: (405) 271-3577
Fax #: (405) 271-8297
County: OKLAHOMA
License: 8056
Dated: 6/18/1964
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Radiation Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated: / 1959
CME Year: 2019
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 NUCLEAR MEDICINE
AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Global Health HMO
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
SoonerCare HMO
SoonerCare PPO
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
OU PHYSICIANS
RADIATION ONCOLOGY DEPARTMENT
800 NE TENTH STREET OKCC L 100
OKLAHOMA CITY OK 73104-5417

Phone #: (405) 271-3577
Fax #: (405) 271-8297
Mon: 7:00AM - 6:00PM
Tue: 7:00AM - 6:00PM
Wed: 7:00AM - 6:00PM
Thu: 7:00AM - 6:00PM
Fri: 7:00AM - 6:00PM
Sat:
Sun:

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