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Oklahoma Board of Medical Licensure and Supervision

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MAGNUSON, LARRY WAYNE       
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: 30 WILDWOOD DR. UNIT 43
GEORGETOWN TX 78366-5325

Address last updated on 5/21/2018
Phone #: (512) 773-5511
Fax #:
County: NOT OKLAHOMA
License: 8486
Dated: 6/16/1965
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Occupational Medicine
Family Medicine
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1965
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 PREVENTIVE MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
30 WILDWOOD DR. UNIT 43
GEORGETOWN TX 78366-5325

Phone #: (512) 773-5511
Fax #:
Mon: 10:00AM - 5:00PM
Tue: 10:00AM - 5:00PM
Wed: 10:00AM - 5:00PM
Thu: 10:00AM - 5:00PM
Fri: 10:00AM - 5:00PM
Sat:
Sun: 8:00AM - 5:00PM
Spanish

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