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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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BALZER, LARRY DALE
Practice Address: 1309 EAST STREET
GUYMON OK 73942

Address last updated on 5/9/2023
Phone #: (580) 338-4638
Fax #: (580) 338-4642
County: TEXAS
License: 9795
Dated: 6/30/1972
Expires: 6/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
GERIATRICS
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1971
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: ABPS - Family Medicine
AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CCN Managed Care
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Evolutions Healthcare
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Multiplan PPO
Oklahoma Health Network PPO
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Physicians Direct Network
PPO Oklahoma
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Pronet
Secure Horizons HMO
SoonerCare HMO
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
1309 EAST STREET
GUYMON OK 73942

Phone #: (580) 338-4638
Fax #: (580) 338-4642
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SELENE GARCIA-VAN CAMP APRN 5663
TASHA HERRERA APRN 116758
ELIZABETH UMEMBA APRN 135049
KIMBERLY WADLEY APRN 72715

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