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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST
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DOCKENDORF, JUSTIN GRAHAM
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| Practice Address: |
1725 SIGNAL RIDGE DR.
SUITE #130
EDMOND OK 73013-3790
Address last updated on 10/28/2024 |
| Phone #: |
(405) 706-3019 |
| Fax #: |
(405) 471-5750 |
| County: |
OKLAHOMA |
| License: |
23662 |
| Dated: |
9/20/2005 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine
Addiction Medicine
Family Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
St George's Univ, Sch Of Med, St George's, Grenada |
| Graduated: |
6 /
2003 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 1/18/2024 |
Completed all requirements ordered by the Board |
|
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| 9/15/2022 |
Voluntary Submittal to Jurisdiction |
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| 3/30/2022 |
Complaint Citation |
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Board Filings and/or Orders:
09/15/2022
06/29/2022
03/30/2022
03/30/2022
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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: |
ABPS - Family Medicine |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
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