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Oklahoma Board of Medical Licensure and Supervision

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

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PHELPS, CRAIG ALAN       
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: 1710 W 3RD STE 101
PO BOX 1047
ELK CITY OK 73648

Address last updated on 7/5/2024
Phone #: (580) 225-8600
Fax #: (580) 225-8603
County: BECKHAM
License: 11010
Dated: 8/31/1976
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1975
CME Year: 2027
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: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Locations: Hours: Languages:
1710 W 3RD STE 101
PO BOX 1047
ELK CITY OK 73648

Phone #: (580) 225-8600
Fax #: (580) 225-8603
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 12:00PM
Fri: 9:00AM - 12:00PM
Sat: CLOSED SATURDAY
Sun: 9:00AM - 5:00PM CLOSED SUNDAY
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHARITY BRADSHAW APRN 15457
JIMMY TISDALE APRN 80659

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