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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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PADDACK, GARY LEE       
Practice Address: 717 BETTER NOW PLAZA
ADA OK 74820-4607

Address last updated on 7/8/2022
Phone #: (580) 436-2262
Fax #: (580) 272-0186
County: PONTOTOC
License: 12905
Dated: 9/25/1980
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 6 / 1977
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: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Locations: Hours: Languages:
717 BETTER NOW PLAZA
ADA OK 74820-4607

Phone #: (580) 436-2262
Fax #: (580) 272-0186
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RYAN BUI APRN 5020
JOSHUA DERRELL CORLEY PA 1538
HOLLY FARRAR APRN 116907
CHRISSY LEHEW APRN 88816
MANDY WATERS APRN 73536

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