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Practice Address: 941 STANTON L YOUNG BLVD
OKLAHOMA CITY OK 73104

Address last updated on 6/3/2021
Phone #:
Fax #:
County: OKLAHOMA
License: 36929
Dated: 7/23/2020
Expires: 7/1/2022
License Type: Medical Doctor
Specialty: Internal Medicine
Gastroenterology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Fed De Rio Grande Do Sul, Fac De Med, Porto Alegre, Rs, Brazil
Graduated: 6 / 2011
CME Year: 2023
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
AMERICAN BOARD OF INTERNAL MEDICINE - Gastroenterology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
941 STANTON L YOUNG BLVD
OKLAHOMA CITY OK 73104

Phone #:
Fax #:
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