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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT

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BUCKLEY, DUSTAN PIERCE       
Practice Address: 9100 N. MAY AVE
OKLAHOMA CITY OK 73120

Address last updated on 6/15/2023
Phone #: (405) 840-4456
Fax #: (405) 840-4295
County: OKLAHOMA
License: 18504
Dated: 7/1/1993
Expires: 7/1/2025
Training Issued: 6/26/1992
Training Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Internal 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 / 1992
CME Year: 2027
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
OSMA Health (formerly Plico PPO)
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
9100 N. MAY AVE
OKLAHOMA CITY OK 73120

Phone #: (405) 840-4456
Fax #: (405) 840-4295
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHELLE ELLENBURG APRN 102324
CARA PANAS APRN 96358

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