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Last Update: Wednesday, May 8, 2024 4:47 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT

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HINE, JERRY RANDAL
Practice Address: 4200 UNIVERSITY AVE SUITE 300
WEST DES MOINES IA 50266

Address last updated on 6/26/2023
Phone #: (405) 474-0195
Fax #:
County: NOT OKLAHOMA
License: 34255
Dated: 11/16/2018
Expires: 11/1/2021
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2008
CME Year: 2021
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Bass Baptist Health Center
Enid, OK
Locations: Hours: Languages:
4200 UNIVERSITY AVE SUITE 300
WEST DES MOINES IA 50266

Phone #: (405) 474-0195
Fax #:
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600 S Monroe St
Enid, OK 73701

Phone #: (405) 474-0195
Fax #: (4) 201-
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