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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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PEREZ, DANTE
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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: |
100 S. BLISS AVE
TAHLEQUAH OK 74464
Address last updated on 3/14/2023 |
| Phone #: |
(918) 458-3100 |
| Fax #: |
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| County: |
CHEROKEE |
| License: |
19710 |
| Dated: |
5/10/1996 |
| Expires: |
5/1/2025 |
| 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 Auto De Santo Domingo (Uasd), Fac De Cien Med, Santo Domingo |
| Graduated: |
10 /
1985 |
| CME Year: |
2025 |
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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: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO |
| Hospital Privileges: |
Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
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| Locations: |
Hours: |
Languages: |
100 S. BLISS AVE
TAHLEQUAH OK 74464
Phone #:
(918) 458-3100
Fax #:
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Mon:
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun: ONLY ON A PRN BASE |
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