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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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LOFGREN, MARTY MARLON       
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: ABSENTEE SHAWNEE TRIBAL HEALTH SYSTEM.
15951 LITTLE AXE DRIVE
NORMAN OK 73026

Address last updated on 9/18/2024
Phone #: (405) 447-0300
Fax #: (405) 701-7631
County: CLEVELAND
License: 25993
Dated: 10/16/2007
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 1996
CME Year: 2025
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ABSENTEE SHAWNEE TRIBAL HEALTH SYSTEM.
15951 LITTLE AXE DRIVE
NORMAN OK 73026

Phone #: (405) 447-0300
Fax #: (405) 701-7631
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BARBRA CALDWELL APRN 86488
SUSAN FEELEY APRN 85757
ELMER GARI OWENS PA 619
VICTORIA J SALAMY-SULLINS PA 1812

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