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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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HO, ANDREA PERVINE-ZAMAN
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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.
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| Practice Address: |
ALLOSOURCE
6278 S. TROY CIR.
CENTENNIAL CO 80111
Address last updated on 11/6/2024 |
| Phone #: |
(720) 873-0213 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
40513 |
| Dated: |
1/4/2023 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology
Blood Banking/Transfusion Medicine
Cytopathology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104 |
| Graduated: |
5 /
1994 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical)
AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical) - Blood Banking/Transfusion Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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