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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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RANDEL, MARK ALFORD       
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: MUSKOGEE VA HOSPITAL- VA HEALTH SYSTEM
CHIEF OF SURGERY
MUSKOGEE OK 74401

Address last updated on 8/8/2024
Phone #:
Fax #:
County: MUSKOGEE
License: 16951
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 5/31/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Vascular Surgery
General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 1988
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 SURGERY
AMERICAN BOARD OF SURGERY - Vascular Surgery - General
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
MUSKOGEE VA HOSPITAL- VA HEALTH SYSTEM
CHIEF OF SURGERY
MUSKOGEE OK 74401

Phone #:
Fax #:
Mon:
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JONATHAN DAVID CLARK PA 3141
KELLY JAMES ELERICK PA 915
LEANNE MCWHIRT APRN 76250
EMILY NOEL WEBER PA 4534
CATHERINE FALGOUT WILCOX PA 2875

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