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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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TIENABESO, SOPUKRO WENIKE
Practice Address: VA MEDICAL CENTER
921 NE 13TH STREET
OKLAHOMA CITY OK 73104-7410

Address last updated on 3/26/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 24308
Dated: 4/5/2005
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Lagos, Coll Of Med, Lagos, Nigeria
Graduated: 8 / 1984
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: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Creek Nation Community Hospital
Okemah, OK
Holdenville General Hospital
Holdenville, OK
INTEGRIS Clinton Regional Hospital
Clinton, OK
OU Medical Center - Edmond
Edmond, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
VA MEDICAL CENTER
921 NE 13TH STREET
OKLAHOMA CITY OK 73104-7410

Phone #: (405) 456-1000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TOD MCCORMICK DOW PA 799

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