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FERNANDEZ, RODOLFO SANSANO       
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.
Practice Address: 8101 FALCON CREST
JONES OK 73049

Address last updated on 5/4/2011
Phone #: (405) 833-6343
Fax #: (405) 396-2775
County: OKLAHOMA
License: 20140
Dated: 6/5/1997
Expires: 6/1/2012
License Type: Medical Doctor
Specialty: Radiology
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Philippine Muslim-Christian Coll Of Med Fndn, Antipolo, Rizal
Graduated: 4 / 1987
CME Year: 2013
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8101 FALCON CREST
JONES OK 73049

Phone #: (405) 833-6343
Fax #: (405) 396-2775
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1023 waterwood parkway
Edmond, OK 73034

Phone #: (405) 513-7226
Fax #:
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