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Oklahoma Board of Medical Licensure and Supervision

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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       
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: 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
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2007
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
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
Locations: Hours: Languages:
P.O. BOX 129
2716 WEST GORE BLVD STE C
LAWTON OK 73505

Phone #: (580) 357-3280
Fax #: (580) 357-7495
Mon:
Tue:
Wed:
Thu: 8:00AM - 4:30PM
Fri:
Sat:
Sun:
3201 W Gore Blvd
#304
Lawton, OK 73505

Phone #: (580) 353-6760
Fax #: (8) 202-
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SAMANTHA QUICKLE APRN 122191

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