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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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COFFEY, J CLIFTON       
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: 1900 WEST 2ND STREET
SUITE C
ELK CITY OK 73644-4328

Address last updated on 7/5/2024
Phone #: (580) 225-9222
Fax #: (866) 835-6543
County: BECKHAM
License: 20836
Dated: 8/10/1998
Expires: 8/1/2025
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: 5 / 1995
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare Standard
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Locations: Hours: Languages:
1900 WEST 2ND STREET
SUITE C
ELK CITY OK 73644-4328

Phone #: (580) 225-9222
Fax #: (866) 835-6543
Mon: 8:00AM - 4:45PM CLOSED FROM 12:00 - 1:00 P.M
Tue: 8:00AM - 4:45PM CLOSED FROM 12:00 - 1:00 P.M
Wed: 8:00AM - 4:30PM CLOSED FROM 12:00 - 1:00 P.M
Thu: 8:00AM - 11:45AM
Fri: 8:00AM - 4:00PM CLOSED FROM 12:00 - 1:00 P.M
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LELA CUPP APRN 99035
SARAH GAIL THIESSEN PHELPS AT 495

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