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Oklahoma Board of Medical Licensure and Supervision

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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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MYRIN, GERARDO MORALES       
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: 5401 N. PORTLAND AVE
SUITE 600
OKLAHOMA CITY OK 73112

Address last updated on 4/10/2024
Phone #: (405) 713-9940
Fax #: (405) 713-9941
County: OKLAHOMA
License: 33739
Dated: 5/8/2018
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2012
CME Year: 2027
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Northwest Surgical Hospital
Oklahoma City, OK
Locations: Hours: Languages:
5401 N. PORTLAND AVE
SUITE 600
OKLAHOMA CITY OK 73112

Phone #: (405) 713-9940
Fax #: (405) 713-9941
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LLOYD SCOTT DUNKLEBERGER PA 939
KATHRYN LYNN LANE PA 3100
KRISTY MARIE OLIVO PA 2648
RANDALL ASHLEY PAPE PA 1481
KRISTIN STRONG PA 5293
BLAIR NICOLE TERRY PA 2922

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