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TARDIBONO, GEORGE
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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: |
1000 NE 13TH ST.
SUITE 1G
OKLAHOMA CITY OK 73104
Address last updated on 5/27/2024 |
Phone #: |
(405) 271-3445 |
Fax #: |
(405) 271-3401 |
County: |
OKLAHOMA |
License: |
19089 |
Dated: |
7/29/1994 |
Expires: |
7/1/2025 |
Training
Issued:
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6/26/1993 |
Training
Expires:
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10/1/1994 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104 |
Graduated: |
6 /
1993 |
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 INTERNAL MEDICINE |
New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
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