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Oklahoma Board of Medical Licensure and Supervision

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RIPPETEAU, NICKI DIANE       
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: ORTHOPAEDIC & RECONSTRUCTIVE HEALTH SYSTEM
1044 SW 44TH STREET #620
OKLAHOMA CITY OK 73109

Address last updated on 3/5/2008
Phone #: (405) 616-2676
Fax #: (405) 631-1767
County: OKLAHOMA
License: 23894
Dated: 6/17/2004
Expires: 6/1/2006
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 12 / 1977
CME Year: 2007
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ORTHOPAEDIC & RECONSTRUCTIVE HEALTH SYSTEM
1044 SW 44TH STREET #620
OKLAHOMA CITY OK 73109

Phone #: (405) 616-2676
Fax #: (405) 631-1767

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