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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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FOGLE, MARK WARREN
Practice Address: 1905 LAGO DR
MOORE OK 73160

Address last updated on 6/1/2023
Phone #: (405) 213-5979
Fax #:
County: CLEVELAND
License: 13925
Dated: 8/12/1982
Expires: 8/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 6 / 1981
CME Year: 2024
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Anthony Hospital (SSM Health)
Oklahoma City, OK
Locations: Hours: Languages:
1905 LAGO DR
MOORE OK 73160

Phone #: (405) 213-5979
Fax #:
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1000 N Lee
OKC, OK 73102

Phone #: (405) 272-7000
Fax #: (1) 201-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LINDEE RENAE LEDBETTER PA 1824

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