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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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COYNER GREGORY, CHARLOTTE ANNE       
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: IFC MEMORIAL WEST
5915 W MEMORIAL ROAD #300
OKLAHOMA CITY OK 73142-2021

Address last updated on 12/2/2024
Phone #: (405) 773-6416
Fax #: (405) 773-6461
County: OKLAHOMA
License: 27195
Dated: 1/13/2011
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298
Graduated: 5 / 2009
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
IFC MEMORIAL WEST
5915 W MEMORIAL ROAD #300
OKLAHOMA CITY OK 73142-2021

Phone #: (405) 773-6416
Fax #: (405) 773-6461
Mon: 8:00AM - 5:00PM
Tue: 7:30AM - 5:00PM
Wed: 7:30AM - 5:00PM
Thu: 7:30AM - 5:00PM
Fri: 7:30AM - 12:00PM
Sat:
Sun:

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