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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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CONRAD, VICKI JOYCE
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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: |
1616 S BOULEVARD ST
SUITE B
EDMOND OK 73013
Address last updated on 12/13/2021 |
| Phone #: |
(405) 341-5691 |
| Fax #: |
(405) 348-7543 |
| County: |
OKLAHOMA |
| License: |
14083 |
| Dated: |
1/25/1983 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice
Allergy |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1981 |
| CME Year: |
2028 |
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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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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna PPO
Beechstreet PPO
Coventry Health Care National Network
First Health
HealthChoice
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO) |
| Hospital Privileges: |
INTEGRIS Southwest Medical Center
Oklahoma City, OK
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