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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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ROTHWELL, PAUL DAVID       
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: 4400 GRANT BLVD. SUITE 109
YUKON OK 73099

Address last updated on 4/28/2024
Phone #: (405) 787-8556
Fax #: (405) 787-7424
County: CANADIAN
License: 10533
Dated: 6/30/1975
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Family Practice)
Nutrition
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1974
CME Year: 2025
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4400 GRANT BLVD. SUITE 109
YUKON OK 73099

Phone #: (405) 787-8556
Fax #: (405) 787-7424
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEREMY BRANDON LAMB PA 1870
LAURA BAXTER MILLER PA 929
CANDACE LEE STURLIN PA 1266

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