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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 15, 2024 4:04 AM CDT
Next Update: Wednesday, May 15, 2024 12:00 PM CDT

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KISTLER, DAMION LOREN       
Practice Address: 4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120-8362

Address last updated on 5/7/2014
Phone #: (405) 752-3853
Fax #: (405) 752-3052
County: OKLAHOMA
License: 13891
Dated: 7/22/1982
Expires: 7/1/2015
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298
Graduated: 5 / 1977
CME Year: 2015
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 PATHOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
St. Anthony Hospital (SSM Health)
Oklahoma City, OK
Locations: Hours: Languages:
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120-8362

Phone #: (405) 752-3853
Fax #: (405) 752-3052

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