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Next Update: Thursday, December 19, 2024 2:50 AM CST
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TEDESCO, DUSTIN SHAUN
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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.
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| Practice Address: |
1553 NORTH PORTER AVENUE
NORMAN OK 73071
Address last updated on 8/14/2023 |
| Phone #: |
(405) 515-0500 x4052 |
| Fax #: |
(405) 515-0501 |
| County: |
CLEVELAND |
| License: |
25729 |
| Dated: |
9/23/2008 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Nephrology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2007 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Grady Memorial Hospital
Chickasha, OK
Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK
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| Locations: |
Hours: |
Languages: |
1553 NORTH PORTER AVENUE
NORMAN OK 73071
Phone #:
(405) 515-0500 x4052
Fax #:
(405) 515-0501 |
Mon:
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 9:00AM - 4:30PM
Sat: CLOSED
Sun: CLOSED |
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