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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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MOLINA, DANIEL       
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: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 8/15/2024
Phone #: (580) 436-3980 x8208
Fax #:
County: PONTOTOC
License: 25556
Dated: 5/10/2007
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: USUHS F E Hebert Sch of Med Bethesda Md 20814
Graduated: 5 / 2004
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980 x8208
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SOMMER MILLARD APRN 83190
AMANDA MOORE APRN 74299
SERENA SHEPPARD APRN 67512

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