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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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BROCK, JACK ARTHUR
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| Practice Address: |
4411 THE 25 WAY NE
SUITE 150
ALBUQUERQUE NM 87109
Address last updated on 6/9/2003 |
| Phone #: |
(505) 332-6900 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
9917 |
| Dated: |
4/20/1973 |
| Expires: |
4/1/2006 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Washington Univ in St Louis Sch of Med, St Louis MO |
| Graduated: |
/
1968 |
| CME Year: |
2007 |
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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 RADIOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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