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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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DIMSKI, ROBERT CONRAD       
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: 9070 HARMONY DRIVE
SUITE B
MIDWEST CITY OK 73130

Address last updated on 4/3/2023
Phone #: (405) 455-3636
Fax #: (405) 455-3601
County: OKLAHOMA
License: 14821
Dated: 6/30/1984
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 1983
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
9070 HARMONY DRIVE
SUITE B
MIDWEST CITY OK 73130

Phone #: (405) 455-3636
Fax #: (405) 455-3601
Mon: 7:30AM - 4:00PM
Tue: 7:30AM - 4:00PM
Wed: 7:30AM - 4:00PM
Thu: 7:30AM - 4:00PM
Fri: 7:30AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHANNON BRUEY APRN 96735
TIFFANY LIPSCOMB APRN 4971
MICAELA LUPOV PA 2497
JOSE ANTONIO MEDINA PA 1575
ALYSSA RACE APRN 14963
RENEE SHORT APRN 96706
ASHLEY THOMPSON APRN 108294
BRUNA MAE VARALLI-CLAYPOOL PA 1028

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