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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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FONG, DANIEL NELSON
Practice Address: LAKESIDE WOMENS HOSPITAL
11200 NORTH PORTLAND AVENUE
SECOND FLOOR
OKLAHOMA CITY OK 73120-5045

Address last updated on 4/27/2024
Phone #: (405) 936-1000
Fax #: (405) 936-1001
County: OKLAHOMA
License: 25623
Dated: 6/12/2009
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
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 / 2007
CME Year: 2027
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 OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Lakeside Women's Hospital
Oklahoma City, OK
Locations: Hours: Languages:
LAKESIDE WOMENS HOSPITAL
11200 NORTH PORTLAND AVENUE
SECOND FLOOR
OKLAHOMA CITY OK 73120-5045

Phone #: (405) 936-1000
Fax #: (405) 936-1001
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALISHA WILKE APRN 80849

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