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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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LANKFORD, BRIAN K       
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: SPECIALTY CLINICS OF SAINT ANNE
350 NE 12TH ST
GUYMON OK 73942

Address last updated on 11/19/2024
Phone #: (580) 338-8700
Fax #:
County: TEXAS
License: 268
Dated: 9/28/2000
Expires: 3/20/2025
Temp. Ltr. Issued: 11/19/2024
Temp. Ltr. Expires: 3/20/2025
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Temporary
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:
SPECIALTY CLINICS OF SAINT ANNE
350 NE 12TH ST
GUYMON OK 73942

Phone #: (580) 338-8700
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARTIN DONATO BAUTISTA MD 19756

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