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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST
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HENDERSON, CLIFFORD LENNY
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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: |
9720 BROADWAY EXTENSION
OKLAHOMA CITY OK 73114
Address last updated on 5/7/2024 |
| Phone #: |
(405) 280-7546 x2 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
26344 |
| Dated: |
7/1/2009 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Dermatology |
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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 /
2008 |
| CME Year: |
2027 |
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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 DERMATOLOGY
AMERICAN BOARD OF DERMATOLOGY - Micrographic Dermatologic Surgery |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Focus Healthcare
Global Health HMO
Great West Healthcare
Humana ChoiceCare
Humana Medicare Advantage PPO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
United Insurance |
| Hospital Privileges: |
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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