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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MIYAKE, ALAN AKIO       
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: 404 SOUTH MUSTANG RD.
YUKON OK 73099

Address last updated on 12/10/2023
Phone #: (405) 577-7744
Fax #:
County: CANADIAN
License: 22636
Dated: 12/7/2001
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: MAXILLOFACIAL SURGERY
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 5 / 1994
CME Year: 2025
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:
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
404 SOUTH MUSTANG RD.
YUKON OK 73099

Phone #: (405) 577-7744
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 12:00PM
Wed: 12:00AM - 5:00PM
Thu: 8:00AM - 12:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
404 S. Mustang rd.
Yukon, OK 73099

Phone #: (405) 577-7744
Fax #: (2) 200-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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