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Last Update: Friday, March 29, 2024 9:36 AM CDT
Next Update: Friday, March 29, 2024 12:00 PM CDT
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BERG, CARL RONALD |
Practice Address: |
KADIVAR FAMILY MEDICINE
916SW 38TH ST. SUITE D
LAWTON OK 73505
Address last updated on 3/14/2024 |
Phone #: |
(580) 699-7699 |
Fax #: |
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County: |
COMANCHE |
License: |
1853 |
Dated: |
10/29/2009 |
Expires: |
5/16/2024 |
Temp.
Ltr.
Issued:
|
3/22/2024 |
Temp.
Ltr.
Expires:
|
5/16/2024 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Temporary |
Restricted to: |
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CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
Comanche County Memorial Hospital
Lawton, OK
Southwestern Medical Center
Lawton, OK
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