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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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SHORT, MARGO RENEE       
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: 4 R FAMILIES MEDICAL CLINIC
721 W. BROADWAY
SUITE C
ENID OK 73701-5861

Address last updated on 9/4/2024
Phone #: (580) 297-5340
Fax #: (580) 297-5344
County: GARFIELD
License: 23498
Dated: 8/18/2004
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 / 2003
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: None listed
Hospital Privileges: St. Mary's Regional Medical Center
Enid, OK
Locations: Hours: Languages:
4 R FAMILIES MEDICAL CLINIC
721 W. BROADWAY
SUITE C
ENID OK 73701-5861

Phone #: (580) 297-5340
Fax #: (580) 297-5344
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTA BAINE BRAUD PA 1259
JANNA KAYE THOMPSON PA 1477

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