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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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THOMASON, SARA JANE MOSELEY       
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: 415 FAIRVIEW AVE #100
PONCA CITY OK 74601-1923

Address last updated on 6/16/2003
Phone #: (580) 765-5569
Fax #: (580) 765-2020
County: KAY
License: 10633
Dated: 8/11/1975
Expires: 8/1/2005
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: / 1971
CME Year: 2006
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
Welcor/Sooner
Hospital Privileges: INTEGRIS Health Ponca City Hospital -(frmly Via Christi)
Ponca City, OK
Locations: Hours: Languages:
415 FAIRVIEW AVE #100
PONCA CITY OK 74601-1923

Phone #: (580) 765-5569
Fax #: (580) 765-2020
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM

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