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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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FOX, AUDRALAN GAYLE       
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: FUSIONMD
5472 MAIN STREET
SUITE 101
DEL CITY OK 73115

Address last updated on 6/10/2024
Phone #: (405) 622-3699
Fax #: (405) 585-0730
County: OKLAHOMA
License: 25086
Dated: 7/1/2008
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 4 / 2006
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: ABPS - Integrative Medicine
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:
FUSIONMD
5472 MAIN STREET
SUITE 101
DEL CITY OK 73115

Phone #: (405) 622-3699
Fax #: (405) 585-0730
Mon: 7:30AM - 4:30PM
Tue: 7:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 7:30AM - 4:30PM
Fri: 7:30AM - 12:00PM
Sat: 10:00AM - 6:00PM CLOSED
Sun: 10:00AM - 6:00PM CLOSED
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTEN BAILEY MILLS APRN 109649
REBECCA ELLIS APRN 14328
CARA GAIL ENGELMANN PA 1398
WENDY KAY PETERSON PA 2991
TRACY JANE TOFT PA 1892

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