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Next Update: Thursday, December 19, 2024 2:50 AM CST
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JOHNSON, GARY ALAN
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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: |
DDS
9801 N KELLEY
OKC OK 73131
Address last updated on 6/12/2023 |
| Phone #: |
(405) 419-2200 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
18538 |
| Dated: |
7/1/1993 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Gynecological Oncology
Gynecology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
1986 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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Board Filings and/or Orders:
09/28/2001
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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: |
ABPS - Obstetrics & Gynecology
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Gynecologic Oncology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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