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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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ELKINGTON, MARK WAYNE       
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: WILLOW CREST HOSPITAL
130 A STREET SW
MIAMI OK 74354-6806

Address last updated on 5/11/2021
Phone #: (918) 542-1836
Fax #: (918) 542-6060
County: OTTAWA
License: 20887
Dated: 10/2/1998
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated: 5 / 1991
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 PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Child & Adolescent Psychiatry
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Willow Crest Hospital, Inc.
Miami, OK
Locations: Hours: Languages:
WILLOW CREST HOSPITAL
130 A STREET SW
MIAMI OK 74354-6806

Phone #: (918) 542-1836
Fax #: (918) 542-6060
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BILLY ROYCE EVANS PA 170
JESSICA WILLIAMS APRN 11293

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