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OLORUNNISOMO, VINCENT OLUKOREDE       
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: 4140 W. MEMORIAL ROAD
SUITE 208
OKLAHOMA CITY OK 73120

Address last updated on 3/30/2022
Phone #: (405) 749-4230
Fax #: (405) 749-4228
County: OKLAHOMA
License: 32209
Dated: 5/17/2016
Expires: 5/1/2023
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 2010
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Surgicare
Oklahoma City, OK
Locations: Hours: Languages:
4140 W. MEMORIAL ROAD
SUITE 208
OKLAHOMA CITY OK 73120

Phone #: (405) 749-4230
Fax #: (405) 749-4228
Mon:
Tue:
Wed:
Thu:
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