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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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AVILA, ANIBAL MIKJAIL       
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: 1200 E PECAN ST
ALTUS OK 73521-6141

Address last updated on 6/22/2024
Phone #:
Fax #:
County: JACKSON
License: 36299
Dated: 7/23/2020
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Ponce Sch Of Med, Ponce Pr 00732
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Jackson County Memorial Hospital
Altus, OK
Locations: Hours: Languages:
1200 E PECAN ST
ALTUS OK 73521-6141

Phone #:
Fax #:
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101 S. Park Ln.
Oklahoma City, OK 73521

Phone #: (580) 379-6140
Fax #: (3) 202-
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
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