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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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PRICE, JOHN STEPHEN       
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: FAIRVIEW FAMILY CLINIC
519 EAST STATE RD.
FAIRVIEW OK 73737

Address last updated on 5/31/2024
Phone #: (580) 227-1355
Fax #: (580) 227-1382
County: MAJOR
License: 16520
Dated: 7/1/1988
Expires: 7/1/2025
Training Issued: 8/31/1987
Training Expires: 9/30/1988
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: 5 / 1987
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Mary's Regional Medical Center
Enid, OK
Locations: Hours: Languages:
FAIRVIEW FAMILY CLINIC
519 EAST STATE RD.
FAIRVIEW OK 73737

Phone #: (580) 227-1355
Fax #: (580) 227-1382
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JERRY BRAZIEL PA 2442
RAEGAN DEWILDE PA 4698
ELIZABETH KIMBALL APRN 112653

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