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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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BADGETT, BLAKE ALLEN       
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: 3731 LEGACY
WEATHERFORD OK 73096

Address last updated on 3/6/2022
Phone #: (580) 772-6777
Fax #: (580) 772-2510
County: CUSTER
License: 22800
Dated: 4/25/2002
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Family 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 / 1999
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
Locations: Hours: Languages:
3731 LEGACY
WEATHERFORD OK 73096

Phone #: (580) 772-6777
Fax #: (580) 772-2510
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 3:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
FARRAH CHRISTIAN APRN 10541
EDWIN LYLE DETWEILER AT 624
TAYLOR MORGAN LEWALLEN PA 4878
KERI DENISE MCDANIEL PA 860
JEFF SCOTT MOSES AT 394
KALYP JUSTIN OLIVER AT 647
TOSHA ROBINSON APRN 107561
RACHEL WITMER PA 2655
STEPHANIE YODER APRN 76820

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