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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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SHAW, TANNA MARIE       
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: 15318 N MAY AVE
SUITE B
EDMOND OK 73013

Address last updated on 6/5/2024
Phone #: (405) 970-8020
Fax #: (405) 970-8025
County: OKLAHOMA
License: 20758
Dated: 7/20/1998
Expires: 7/1/2025
Temp. Lic. Issued: 7/1/1997
Temp. Lic. Expires: 8/1/1998
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1997
CME Year: 2025
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
Locations: Hours: Languages:
15318 N MAY AVE
SUITE B
EDMOND OK 73013

Phone #: (405) 970-8020
Fax #: (405) 970-8025
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
4300 W Memorial Rd
Oklahoma City, OK 73120

Phone #: (405) 755-1515
Fax #: (9) 202-7
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRYSTABEL SNODGRASS APRN 92246

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