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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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STOUT, DARREL LEE       
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: MERCY HLTH EDMOND
1575 N SANTA FE AVE
EDMOND OK 73003-3638

Address last updated on 4/15/2024
Phone #: (405) 285-0660
Fax #: (405) 285-0659
County: OKLAHOMA
License: 14799
Dated: 6/30/1984
Expires: 6/1/2025
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 / 1983
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
UniCare Health Plans of Oklahoma
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY HLTH EDMOND
1575 N SANTA FE AVE
EDMOND OK 73003-3638

Phone #: (405) 285-0660
Fax #: (405) 285-0659
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN DUBBERSTEIN APRN 99384
BRITTANY NICOLE FLEMINGS PA 2333
ALEXA JEANNE GRAY PA 2236

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