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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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HUBANKS, JOHN MARK       
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: 101 FK BUSTER AVE
CHEYENNE OK 73628-0040

Address last updated on 8/22/2024
Phone #: (580) 497-3333
Fax #: (580) 497-2778
County: ROGER MILLS
License: 14481
Dated: 9/1/1983
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1980
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: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Roger Mills Memorial Hospital
Cheyenne, OK
Locations: Hours: Languages:
101 FK BUSTER AVE
CHEYENNE OK 73628-0040

Phone #: (580) 497-3333
Fax #: (580) 497-2778
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
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BEVERLY AIELLO APRN 105895
LYNDA DIANNE BENTLEY PA 912
LAUREN K. KUYKENDALL PA 817
TERRI LYNN NEER PA 1362
MIKAL PHILLIPS-EDWARDS APRN 79957

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