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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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CANULLA, MARCO VALERIO
Practice Address: MERCY
4140 W MEMORIAL RD STE 621
OKLAHOMA CITY OK 73120

Address last updated on 8/7/2023
Phone #: (405) 752-3798
Fax #:
County: OKLAHOMA
License: 38460
Dated: 8/30/2021
Expires: 8/1/2024
Temp. Lic. Issued: 7/20/2021
Temp. Lic. Expires: 9/16/2021
License Type: Medical Doctor
Specialty: General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1991
CME Year: 2024
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY
4140 W MEMORIAL RD STE 621
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3798
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BETHANY KINGSBERRY APRN 647
TRACI MCCLAY APRN 106186

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