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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 4:47 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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WAGNER-MOGLE, CARMEN MARIA
Practice Address: 9101 MONTGOMERY BLVD. NE
ALBUQUERQUE NM 87111

Address last updated on 6/4/2002
Phone #: (505) 275-4288
Fax #:
County: NOT OKLAHOMA
License: 21968
Dated: 7/20/2001
Expires: 7/1/2004
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 5 / 2000
CME Year: 2004
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: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
9101 MONTGOMERY BLVD. NE
ALBUQUERQUE NM 87111

Phone #: (505) 275-4288
Fax #:
Mon: 8:00AM - 7:00PM
Tue: 8:00AM - 7:00PM
Wed: 8:00AM - 7:00PM
Thu: 8:00AM - 7:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 3:00PM

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