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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 16, 2024 7:04 PM CDT
Next Update: Friday, May 17, 2024 2:50 AM CDT

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HSIEH, MISTY DAWN       
Practice Address: 1060 SW 4TH STREET
MOORE OK 73160

Address last updated on 12/28/2023
Phone #: (405) 378-5491
Fax #: (405) 378-5492
County: CLEVELAND
License: 22009
Dated: 2/12/2002
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2000
CME Year: 2026
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: ABPS - Family Medicine
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1060 SW 4TH STREET
MOORE OK 73160

Phone #: (405) 378-5491
Fax #: (405) 378-5492
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ABEL JOSUE ARZU PA 5281
LARA SHIRK APRN 103493
ALYSIA MOTA SMITH PA 4487

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