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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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MASON, CLINTON KENNETH III       
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: AFFILIATED ANESTHESIOLOGISTS LLC
13321 N MERIDIAN AVE
SUITE 402
OKLAHOMA CITY OK 73120

Address last updated on 6/3/2024
Phone #: (405) 755-1080
Fax #: (405) 751-8923
County: OKLAHOMA
License: 17812
Dated: 7/15/1991
Expires: 7/1/2025
Training Issued: 6/21/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Anesthesiology
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 / 1990
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
Locations: Hours: Languages:
AFFILIATED ANESTHESIOLOGISTS LLC
13321 N MERIDIAN AVE
SUITE 402
OKLAHOMA CITY OK 73120

Phone #: (405) 755-1080
Fax #: (405) 751-8923
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KASEY RANDALL BUFFINGTON PA 2778
KRISTA LEE CARTER PA 1992
CARLYN RAY DUREN PA 2089
LAURA ROSE GRAY PA 1841
ROSEANNE GAIL HOANG PA 1258
EDITH ANN KALKBRENNER-BURR PA 1594
MEGAN REESE STEPHENS PA 2116
MARGRETTE NGUYEN VO PA 1504

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