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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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MITRO, JOSEPH CALEB       
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: 1205 HEALTH CENTER PARKWAY
SUITE 240
YUKON OK 73099

Address last updated on 8/5/2024
Phone #: (405) 717-5496
Fax #: (405) 717-5499
County: CANADIAN
License: 22660
Dated: 9/27/2001
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 5 / 2000
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: AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Preferred Community Choice
Hospital Privileges: INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
Locations: Hours: Languages:
1205 HEALTH CENTER PARKWAY
SUITE 240
YUKON OK 73099

Phone #: (405) 717-5496
Fax #: (405) 717-5499
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KACI THOMAS FIELDS APRN 6262

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