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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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DUNKLEBERGER, LLOYD SCOTT       
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: OKLAHOMA JOINT RECONSTRUCTION
9800 BROADWAY EXT STE 201
OKLAHOMA CITY OK 73114

Address last updated on 2/12/2024
Phone #: (405) 424-5426
Fax #:
County: OKLAHOMA
License: 939
Dated: 4/1/1999
Expires: 3/31/2025
Temp. Ltr. Issued: 12/18/1998
Temp. Ltr. Expires: 3/31/1999
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:
OKLAHOMA JOINT RECONSTRUCTION
9800 BROADWAY EXT STE 201
OKLAHOMA CITY OK 73114

Phone #: (405) 424-5426
Fax #:

Hospital Privileges:

INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRETT ALAN BRALY MD 30393
RORY C. DUNHAM DO 3659
PAUL JACOB DO 5494
JAMES CALVIN JOHNSON MD 15302
NICHOLAS ROBERT JOHNSON MD 42429
Faustino Mires Kazenske DO 5505
GERARDO MORALES MYRIN MD 33739
RYAN NELSON DO 4672
NATHANIEL MONNET ODOR MD 32402

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