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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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MOORE, JOSEPH MICHAEL       
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: WILLIAMS MEDICAL GROUP
701 CEDAR LAKE BLVD #120
OKLAHOMA CITY OK 73114

Address last updated on 7/31/2024
Phone #: (918) 876-0521
Fax #: (918) 876-0939
County: TULSA
License: 23398
Dated: 8/18/2004
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: MEDICINE/PEDIATRICS
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2003
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 INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WILLIAMS MEDICAL GROUP
701 CEDAR LAKE BLVD #120
OKLAHOMA CITY OK 73114

Phone #: (918) 876-0521
Fax #: (918) 876-0939
Mon: 8:30AM - 4:00PM
Tue: 8:30AM - 4:00PM
Wed: 8:30AM - 4:00PM
Thu: 8:30AM - 4:00PM
Fri: 8:30AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAMIE BREEDLOVE APRN 88900
SHANNON DUNN APRN 5305
KENDRA GACHATHI APRN 106923
AMANDA MARTIN APRN 117658
LORI SCOTT APRN 123944
JUSTICE WATERS APRN 13376

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