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Last Update: Wednesday, May 15, 2024 5:13 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

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IVANOV, VADIM ANATOLYEVICH       
Practice Address: SECTION OF NEONATAL-PERINATAL MEDICINE
UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
1200 N EVERETT DR.
OKLAHOMA CITY OK 73104-5047

Address last updated on 12/19/2022
Phone #: (405) 271-5215
Fax #:
County: OKLAHOMA
License: 27513
Dated: 1/12/2010
Expires: 1/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Neonatal-Perinatal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Russian State Med Univ (Second Moscow Med Inst), Moscow, Russia
Graduated: 5 / 1987
CME Year: 2025
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Neonatal-Perinatal Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
OU Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
SECTION OF NEONATAL-PERINATAL MEDICINE
UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER
1200 N EVERETT DR.
OKLAHOMA CITY OK 73104-5047

Phone #: (405) 271-5215
Fax #:
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Tue:
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3401 W Gore Blvd
Lawton, OK 73505

Phone #: (580) 355-8620
Fax #: (12) 201-
Mon:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MACIE CAINES APRN 1786
JENNIFER MILAM APRN 71993
CRISTY TRUSKETT APRN 1659

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