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Next Update: Thursday, December 19, 2024 2:50 AM CST
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DICKINSON, GARY PETER
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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.
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| Practice Address: |
6824 N.W. 23 RD
BETHANY OK 73008
Address last updated on 5/26/2014 |
| Phone #: |
(405) 495-5154 |
| Fax #: |
(405) 787-0062 |
| County: |
OKLAHOMA |
| License: |
13228 |
| Dated: |
7/1/1981 |
| Expires: |
6/25/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1980 |
| CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 11/30/2012 |
Complaint Citation |
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| #1/1/1900# |
Past Disciplinary Action |
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Board Filings and/or Orders:
03/07/2013
10/12/2012
10/12/2012
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
None listed |
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