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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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MOORE, ANDREW JUSTIN RAY       
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: 3300 NW EXPRESSWAY
INTERVENTIONAL RADIOLOGY
OKLAHOMA CITY OK 73112

Address last updated on 5/2/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 32304
Dated: 7/1/2017
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Vascular and Interventional Radiology
Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 5 / 2016
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 RADIOLOGY (Interventional & Diagnostic specific)
AMERICAN BOARD OF RADIOLOGY (Interventional & Diagnostic specific) - Vascular & Interventional Radio
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
3300 NW EXPRESSWAY
INTERVENTIONAL RADIOLOGY
OKLAHOMA CITY OK 73112

Phone #:
Fax #:
Mon:
Tue:
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Fri:
Sat:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JESSICA MARIE ACOSTA PA 2934
ROGER DIXON HELLWEGE PA 1230
NICOLE MARIE MASSIE PA 2727
JILL LEANN MILLER PA 2101
LAURIE NICOLE TODD PA 2016

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