BAKER, MICHAEL EDWARD - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

BAKER, MICHAEL EDWARD

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	MCALESTER REGIONAL HEALTH CENTER 1 CLARK BASS BLVD. MCALESTER OK 74501 Address last updated on 7/8/2024
Phone #:	(918) 429-7701
Fax #:	(918) 421-6758
County:	PITTSBURG
License:	133
Dated:	5/1/1995
Expires:	8/31/2025
Temp. Ltr. Issued:	4/17/1995
Temp. Ltr. Expires:	7/15/1995
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:

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.

Locations:	Hours:	Languages:
MCALESTER REGIONAL HEALTH CENTER 1 CLARK BASS BLVD. MCALESTER OK 74501 Phone #: (918) 429-7701 Fax #: (918) 421-6758

Name:	Type:	License Number:
Primary Supervisor(s):
JEFF AARON FOX	MD	22790
PATRICK RUSSELL GANNON	MD	20652

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