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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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RICHMOND, DOUGLAS WAYNE       
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: ON CALL PEDIATRICS URGENT CARE
12150 EAST 96TH STREET NORTH
OWASSO OK 74055

Address last updated on 12/5/2024
Phone #: (918) 716-5437
Fax #:
County: TULSA
License: 25821
Dated: 11/4/2008
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
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: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ON CALL PEDIATRICS URGENT CARE
12150 EAST 96TH STREET NORTH
OWASSO OK 74055

Phone #: (918) 716-5437
Fax #:
Mon: 12:00PM - 10:00PM
Tue: 12:00PM - 10:00PM
Wed: 12:00PM - 10:00PM
Thu: 12:00PM - 10:00PM
Fri: 12:00PM - 10:00PM
Sat: 12:00PM - 10:00PM
Sun: 12:00PM - 10:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHELLE BURGER APRN 48215
BRANDI HAMM APRN 83172
CARL DOUGLAS JACKSON PA 2616

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