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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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DINAN, JEROME DARIO ALDO       
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: WATONGA MUNICIPAL HOSPITAL
500 CLARENCE NASH BLVD
WATONGA OK 73772

Address last updated on 2/9/2024
Phone #: (580) 623-7211
Fax #:
County: BLAINE
License: 2008
Dated: 5/6/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 1/28/2011
Temp. Ltr. Expires: 5/20/2011
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:
WATONGA MUNICIPAL HOSPITAL
500 CLARENCE NASH BLVD
WATONGA OK 73772

Phone #: (580) 623-7211
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRANDON STEPHEN BROWN MD 27722
Christopher Gasbarra DO 6899
CALEB DAVID KING MD 33146
RICHARD ORDONEZ SANTOS MD 26397

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