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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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CRISWELL, DAN FRANKLIN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 2340 W ELK STE 8
DUNCAN OK 73533

Address last updated on 2/5/2024
Phone #: (580) 251-6822 x18
Fax #: (580) 252-2916
County: STEPHENS
License: 12155
Dated: 4/25/1979
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Addiction Medicine
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 / 1977
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: AMERICAN BOARD OF PREVENTIVE MEDICINE - Addiction Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Duncan Regional Hospital
Duncan, OK
Locations: Hours: Languages:
2340 W ELK STE 8
DUNCAN OK 73533

Phone #: (580) 251-6822 x18
Fax #: (580) 252-2916
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JENNIFER HIEBLER APRN 113327
KIM HOLLAND APRN 51232
CARMEN PHILLIPPI APRN 84296

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