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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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MOISE, ALICIA ANN       
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: THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
1200 EVERETT DRIVE
ETNP 7504
OKLAHOMA CITY OK 73104-5047

Address last updated on 4/29/2024
Phone #: (405) 271-5215
Fax #:
County: OKLAHOMA
License: 39764
Dated: 6/15/2022
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1981
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Neonatal-Perinatal Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
1200 EVERETT DRIVE
ETNP 7504
OKLAHOMA CITY OK 73104-5047

Phone #: (405) 271-5215
Fax #:
Mon: HOSPITALIST
Tue: HOSPITALIST
Wed: HOSPITALIST
Thu: HOSPITALIST
Fri: HOSPITALIST
Sat: HOSPITALIST
Sun: HOSPITALIST
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBER FOX APRN 78701
BARBARA HAM APRN 12051
KIMBERLY PATTERSON APRN 17399
SHANNON RESTO APRN 9617

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