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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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FIKE, EDGAR ALLEN IV       
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: 330 S FIFTH STREET #301
ENID OK 73701-5860

Address last updated on 6/18/2024
Phone #: (580) 249-3468
Fax #: (580) 234-5028
County: GARFIELD
License: 20712
Dated: 7/6/1998
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Preferred Community Choice
Welcor/Sooner
Hospital Privileges: St. Mary's Regional Medical Center
Enid, OK
Surgery Center of Enid
Enid, OK
Locations: Hours: Languages:
330 S FIFTH STREET #301
ENID OK 73701-5860

Phone #: (580) 249-3468
Fax #: (580) 234-5028
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KAYLA DAWN DICKSON AT 793
BRITANI FAULK AT 1384

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