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MAZOCH, BRENT LOUIS
Practice Address: 2609 FEATHERSTONE
#309
OKLAHOMA CITY OK 73120
Phone #:
Fax #:
County: OKLAHOMA
License: 17385
Dated: 7/12/1990
Expires: 6/30/1991
Training Issued: 6/22/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 1989
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2609 FEATHERSTONE
#309
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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