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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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KRUCKNER, DOUGLAS LEE
Practice Address: 700 SUGAR CREEK DR.
HINTON OK 73047

Address last updated on 4/15/2024
Phone #:
Fax #:
County: CADDO
License: 39019
Dated: 5/12/2022
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to: AGREEMENT
Registered to Dispense: NO
Medical School: Rutgers Robt W Johnson Med Sch, (fmly UMDNJ)
Graduated: 5 / 2002
CME Year: 2025
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:
700 SUGAR CREEK DR.
HINTON OK 73047

Phone #:
Fax #:
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANDREA JULIA UZUEGBUNEM PA 2639

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