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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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MILLIGAN, TREY       
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: 13801 N. WESTERN AVE.
SUITE D
EDMOND OK 73013

Address last updated on 7/6/2023
Phone #: (405) 748-0018
Fax #:
County: OKLAHOMA
License: 21346
Dated: 8/12/1999
Expires: 8/1/2025
Training Issued: 7/1/1998
Training Expires: 8/1/1999
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 / 1998
CME Year: 2026
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
13801 N. WESTERN AVE.
SUITE D
EDMOND OK 73013

Phone #: (405) 748-0018
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANDREA ATWOOD APRN 79723
NICOLE BALDWIN APRN 8037
CRYSTAL CONLEY APRN 14841
MONNICA EMERSON APRN 7272
STEPHANIE KEESEE APRN 83082
ANATAYA RUCKER APRN 96438
JORDAN TERRY APRN 928

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