MOSER, ANDREA DIANE - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

MOSER, ANDREA DIANE

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:	SSM HEALTH ENDOCRINOLOGY ASSOCIATES 6205 N SANTA FE SUITE 200 OKLAHOMA CITY OK 73118 Address last updated on 3/20/2024
Phone #:	(405) 231-8740
Fax #:
County:	OKLAHOMA
License:	1433
Dated:	4/1/2005
Expires:	3/31/2025
Temp. Ltr. Issued:	1/27/2005
Temp. Ltr. Expires:	4/2/2005
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
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.

Locations:	Hours:	Languages:
SSM HEALTH ENDOCRINOLOGY ASSOCIATES 6205 N SANTA FE SUITE 200 OKLAHOMA CITY OK 73118 Phone #: (405) 231-8740 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MANSOOR TANWIR	MD	33287
DONNY WYNN	MD	25119

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