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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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MEDINA, ROBERTO EDUARDO
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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: |
2990 SE 19TH ST
SUITE 6
MOORE OK 73160-9659
Address last updated on 7/1/2024 |
| Phone #: |
(405) 759-0597 |
| Fax #: |
(940) 205-5023 |
| County: |
CLEVELAND |
| License: |
29919 |
| Dated: |
7/1/2016 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Emergency Medicine
Geriatric Medicine (Family Practice) |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Iberoamericana (Unibe), Santo Domingo |
| Graduated: |
12 /
2008 |
| CME Year: |
2025 |
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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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Geriatric Medicine |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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