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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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KOLLER, DEREK       
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: INCLUDED HEALTH
ONE CALIFORNIA STREET STE. 2300
SAN FRANCISCO CA 94111

Address last updated on 9/28/2024
Phone #: (800) 929-0926
Fax #:
County: NOT OKLAHOMA
License: 41789
Dated: 10/11/2023
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2012
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INCLUDED HEALTH
ONE CALIFORNIA STREET STE. 2300
SAN FRANCISCO CA 94111

Phone #: (800) 929-0926
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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