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DITTO, DANE EDWARD
Practice Address: 2808 SOUTH SHERIDAN
TULSA OK 74129
Phone #:
Fax #:
County: TULSA
License: 17692
Dated: 7/1/1991
Expires: 6/30/1994
Training Issued: 6/28/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1990
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2808 SOUTH SHERIDAN
TULSA OK 74129

Phone #:
Fax #:

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