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Last Update: Thursday, May 2, 2024 10:58 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT
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|
DOCKENDORF, JUSTIN GRAHAM |
| Practice Address: |
1725 SIGNAL RIDGE DR.
SUITE #130
EDMOND OK 73013-3790
Address last updated on 7/29/2023 |
| Phone #: |
(405) 706-3019 |
| Fax #: |
(405) 471-5750 |
| County: |
OKLAHOMA |
| License: |
23662 |
| Dated: |
9/20/2005 |
| Expires: |
9/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine
Addiction Medicine
Family Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
St George's Univ, Sch Of Med, St George's, Grenada |
| Graduated: |
6 /
2003 |
| CME Year: |
2026 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 1/18/2024 |
Completed all requirements ordered by the Board |
|
|
| 9/15/2022 |
Voluntary Submittal to Jurisdiction |
|
|
| 3/30/2022 |
Complaint Citation |
|
|
Board Filings and/or Orders:
09/15/2022
06/29/2022
03/30/2022
03/30/2022
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
ABPS - Family Medicine |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Seminole Medical Center
Seminole, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
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