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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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FULLER, CYNTHIA JEAN
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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: |
10901 E. 76TH STREET NORTH
OWASSO OK 74055
Address last updated on 7/1/2024 |
| Phone #: |
(918) 212-1051 |
| Fax #: |
(918) 212-1052 |
| County: |
TULSA |
| License: |
17711 |
| Dated: |
7/1/1991 |
| Expires: |
7/1/2025 |
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Training
Issued:
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6/21/1990 |
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Training
Expires:
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7/1/1991 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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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 /
1990 |
| CME Year: |
2027 |
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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: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
No |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
National Preferred Provider Network (NPPN)
Preferred Community Choice
Preferred Health Network-ppoNEXT
SoonerCare HMO
SoonerCare PPO
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner |
| Hospital Privileges: |
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
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| Locations: |
Hours: |
Languages: |
10901 E. 76TH STREET NORTH
OWASSO OK 74055
Phone #:
(918) 212-1051
Fax #:
(918) 212-1052 |
Mon: 9:00AM - 5:00PM CLOSED
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: CLOSED
Sat: CLOSED
Sun: CLOSED |
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