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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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IVORY, MATHEW JENNINGS       
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: 2004 N HWY 81
DUNCAN OK 73533

Address last updated on 5/6/2024
Phone #: (580) 255-0500
Fax #: (580) 252-1684
County: STEPHENS
License: 20243
Dated: 7/10/1997
Expires: 7/1/2025
Training Issued: 7/1/1996
Training Expires: 8/1/1997
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 / 1996
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: Duncan Regional Hospital
Duncan, OK
Locations: Hours: Languages:
2004 N HWY 81
DUNCAN OK 73533

Phone #: (580) 255-0500
Fax #: (580) 252-1684
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEREMY SHAUN CHEATWOOD PA 2110
ERICA LYNN DAVIS PA 1623
CHELSEA RENEE JENKINS PA 2009
JENNIFER JOLEEN LOUCKS PA 1015
RUTH THOMPSON APRN 26750

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