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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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VUONG, ANDREW       
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: SSM SEMINOLE
2401 W WRANGLER BLVD
SEMINOLE OK 74868

Address last updated on 7/29/2024
Phone #: (405) 303-4061
Fax #: (404) 303-4411
County: SEMINOLE
License: 24161
Dated: 8/1/2006
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 5 / 2004
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SSM SEMINOLE
2401 W WRANGLER BLVD
SEMINOLE OK 74868

Phone #: (405) 303-4061
Fax #: (404) 303-4411
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KALLIE BLYTHE HUMPHREYS PA 2188
BRET REID OWEN PA 819
CAROLINE MENZIES SITTON PA 1956

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