LONG, JONATHON RAY - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

LONG, JONATHON RAY

Practice Address:	WEATHERFORD REGIONAL HOSPITAL 210 E FRANKLIN AVE WEATHERFORD OK 73096 Address last updated on 10/30/2024
Phone #:	(580) 772-5600
Fax #:	(580) 772-5604
County:	CUSTER
License:	25746
Dated:	7/1/2009
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Family Medicine

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 / 2007
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:	Weatherford Regional Hospital (fmly Southwestern Memorial Hospital) Weatherford, OK

Locations:	Hours:	Languages:
WEATHERFORD REGIONAL HOSPITAL 210 E FRANKLIN AVE WEATHERFORD OK 73096 Phone #: (580) 772-5600 Fax #: (580) 772-5604	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
KERI DENISE MCDANIEL	PA	860