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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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VAUGHN, JERROD LEE       
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: STILLWATER SURGICAL ASSOCIATES
1301 W 6TH STE 105
STILLWATER OK 74074

Address last updated on 12/9/2024
Phone #: (405) 533-1074
Fax #: (405) 533-2642
County: PAYNE
License: 25846
Dated: 9/2/2009
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: General Surgery
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
STILLWATER SURGICAL ASSOCIATES
1301 W 6TH STE 105
STILLWATER OK 74074

Phone #: (405) 533-1074
Fax #: (405) 533-2642
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH CARRADINI APRN 122871
RAHMAH FIRDAUS HALL PA 2843
MELISSA MCRAY APRN 20202
KYNDELL DENISE THOMAS PA 3035

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