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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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WYNN, DONNY       
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: 6205 N. SANTE FE
SUITE 200
OKLAHOMA CITY OK 73118

Address last updated on 5/24/2024
Phone #: (405) 231-8740
Fax #: (405) 231-8714
County: OKLAHOMA
License: 25119
Dated: 7/1/2008
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Endocrinology, Diabetes and Metabolism
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2006
CME Year: 2026
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 INTERNAL MEDICINE - Endocrinology, Diabetes and Metabolism
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
6205 N. SANTE FE
SUITE 200
OKLAHOMA CITY OK 73118

Phone #: (405) 231-8740
Fax #: (405) 231-8714
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LACEY CAMPBELL APRN 146
ANDREA DIANE MOSER PA 1433

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