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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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SIEMS, AMI LEIGH       
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: TULAKES CLINIIC
7301 N. COMMANCHE
WARR ACRES OK 73132

Address last updated on 6/15/2024
Phone #: (405) 301-7710
Fax #: (833) 913-2317
County: OKLAHOMA
License: 16964
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 6/20/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
Locations: Hours: Languages:
TULAKES CLINIIC
7301 N. COMMANCHE
WARR ACRES OK 73132

Phone #: (405) 301-7710
Fax #: (833) 913-2317
Mon: 12:00AM - 6:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 3:00PM
Sat: 8:00AM - 5:00PM OPEN ONE SATURDAY A MONTH
Sun: 8:00AM - 5:00PM CLOSED
Southern Nazarene University
Health Center
6729 N.W. 39th Expwy
Bethany, OK 73008

Phone #: (405) 491-6605
Fax #: (8) 200-
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 12:00PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JENNIFER ANNE BOYETT PA 2212
ALLISON NICOLE GARRISON PA 1256
CHELSEA GEE APRN 98538
JAMES CAMERON HOGAN PA 1816
ANDREA LEIGH KRITTENBRINK PA 1337
HOLLY ALYSE PARKER PA 4874
LAUREN NICHOLE WILSON PA 2959

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