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Oklahoma Board of Medical Licensure and Supervision

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DEDMOND, DAYNELLE MARIE       
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: 700 NORTHEAST 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 1/11/2007
Phone #: (405) 271-8707
Fax #: (405) 271-2976
County: OKLAHOMA
License: 23809
Dated: 3/23/2004
Expires: 3/1/2008
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Eastern VA Med Sch, Norfolk, VA
Graduated: 5 / 2000
CME Year: 2010
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: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
SoonerCare HMO
SoonerCare PPO
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
700 NORTHEAST 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8707
Fax #: (405) 271-2976
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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