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Oklahoma Board of Medical Licensure and Supervision

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DAVIS, RYAN GLENN       
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: 901 N. PORTER AVE
NORMAN OK 73071

Address last updated on 8/14/2023
Phone #: (403) 307-1000
Fax #:
County: OKLAHOMA
License: 23595
Dated: 5/12/2009
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
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: 2027
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Moore Medical Center
Moore, OK
Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
901 N. PORTER AVE
NORMAN OK 73071

Phone #: (403) 307-1000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HANNAH ELIZABETH ELLIOTT PA 4837
JAMIE STEICHEN PA 3122
NATHAN BOYD WHITE PA 2422

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