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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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MONIGOLD, MACKENZIE DAWN       
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: IN HIS IMAGE FAMILY MEDICINE RESIDENCY
7501 S RIVERSIDE PARKWAY
TULSA OK 74136-5056

Address last updated on 6/3/2024
Phone #: (918) 710-4210
Fax #:
County: TULSA
License: 38235
Dated: 7/1/2022
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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 / 2021
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
IN HIS IMAGE FAMILY MEDICINE RESIDENCY
7501 S RIVERSIDE PARKWAY
TULSA OK 74136-5056

Phone #: (918) 710-4210
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8AM-5PM
Wed:
Thu:
Fri:
Sat:
Sun:

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