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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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WEIDNER, VICKY LYNN       
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: INTEGRIS GROVE MEDICAL CENTER
GROVE OK 74344

Address last updated on 6/14/2024
Phone #: (918) 786-2243
Fax #:
County: DELAWARE
License: 15349
Dated: 7/1/1985
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency 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 / 1984
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 EMERGENCY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: INTEGRIS Grove General Hospital
Grove, OK
Locations: Hours: Languages:
INTEGRIS GROVE MEDICAL CENTER
GROVE OK 74344

Phone #: (918) 786-2243
Fax #:
Mon:
Tue:
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Sat:
Sun:
Integris Community Hospitals
Del City, OK 73115

Phone #: (405) 500-3380
Fax #: (10) 201-
Mon:
Tue:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SUZANNE AMANDA ILIFF PA 1516

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