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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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RAYMER, DOUG MYRLE       
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: 1011 HONOR HEIGHTS BLVD MUSKOGEE VA ED
MUSKOGEE OK 74401-1318

Address last updated on 6/12/2023
Phone #: (918) 577-3997 x3972
Fax #: (918) 577-3879
County: MUSKOGEE
License: 18114
Dated: 7/1/1992
Expires: 7/1/2025
Training Issued: 1/30/1992
Training Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: WV Univ Sch Of Med, Morgantown Wv 26506
Graduated: 6 / 1991
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John - Owasso
Owasso, OK
Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
V.A. Medical Center-Muskogee
Muskogee, OK
Locations: Hours: Languages:
1011 HONOR HEIGHTS BLVD MUSKOGEE VA ED
MUSKOGEE OK 74401-1318

Phone #: (918) 577-3997 x3972
Fax #: (918) 577-3879
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HENRIETTE HVINGELBY APRN 1887
TIFFANY LANFORD APRN 18191
CHIDIMMA NGUMA APRN 7848
DAWN JUNE UNRUH-HICKSON PA 1663

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