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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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HUMPHREY, MARY BETH       
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: OKLAHOMA CITY VAMC
921 NE 13TH ST
MEDICINE SERVICE
OKLAHOMA CITY OK 73104

Address last updated on 8/2/2024
Phone #: (405) 271-7712
Fax #: (405) 271-1476
County: OKLAHOMA
License: 25344
Dated: 10/25/2006
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Rheumatology
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 6 / 1997
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 INTERNAL MEDICINE - Rheumatology
New Patients: No
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA CITY VAMC
921 NE 13TH ST
MEDICINE SERVICE
OKLAHOMA CITY OK 73104

Phone #: (405) 271-7712
Fax #: (405) 271-1476
Mon: 8:00AM - 12:00PM
Tue:
Wed:
Thu:
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANGELA BAUSTERT APRN 91119

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