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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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NIOCE, PAUL ANTHONY
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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.
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Practice Address: |
P.O. BOX 129
2716 WEST GORE BLVD STE C
LAWTON OK 73505
Address last updated on 6/14/2024 |
Phone #: |
(580) 357-3280 |
Fax #: |
(580) 357-7495 |
County: |
COMANCHE |
License: |
25818 |
Dated: |
7/1/2008 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine
Undersea & Hyperbaric Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
Graduated: |
5 /
2007 |
CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
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New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO |
Hospital Privileges: |
None listed |
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Primary Supervisees(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
SAMANTHA QUICKLE
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APRN |
122191 |
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