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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BONDURANT, WILLIAM LABAN       
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: MERCY HEALTH EDMOND SIGNAL RIDGE
416 WEST 15TH STREET BLDG 200
EDMOND OK 73013

Address last updated on 6/7/2023
Phone #: (405) 471-5800
Fax #: (405) 471-5859
County: OKLAHOMA
License: 19073
Dated: 7/1/1994
Expires: 7/1/2025
Temp. Lic. Issued: 7/1/1993
Temp. Lic. Expires: 10/1/1994
License Type: Medical Doctor
Specialty: Family 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: 6 / 1993
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: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY HEALTH EDMOND SIGNAL RIDGE
416 WEST 15TH STREET BLDG 200
EDMOND OK 73013

Phone #: (405) 471-5800
Fax #: (405) 471-5859
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KARLEE DAVIS APRN 1191
ERIN C YARBOROUGH PA 2669

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