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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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COOK, SHON WILLIAM       
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: 11317 S WESTERN AVENUE
BLDG 300
OKLAHOMA CITY OK 73170

Address last updated on 9/21/2023
Phone #: (405) 310-6977
Fax #: (405) 701-5006
County: OKLAHOMA
License: 24168
Dated: 10/8/2004
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Neurological Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduated: 6 / 1998
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 NEUROLOGICAL SURGERY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
11317 S WESTERN AVENUE
BLDG 300
OKLAHOMA CITY OK 73170

Phone #: (405) 310-6977
Fax #: (405) 701-5006
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DEVORAH ANN ARCHER-WEBB PA 1107
BEAU JAMES BURTON PA 2526
BRANDON SCOTT FUNK PA 1465

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