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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, November 21, 2024 6:43 PM CST
Next Update: Friday, November 22, 2024 2:50 AM CST

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SWAIM, RICKY GRAY       
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: 3401 W GORE BLVD
LAWTON OK 73505

Address last updated on 1/25/2024
Phone #:
Fax #:
County: COMANCHE
License: 26151
Dated: 2/14/2008
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 2005
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3401 W GORE BLVD
LAWTON OK 73505

Phone #:
Fax #:
Mon:
Tue:
Wed:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KEVIN EDWIN BEAVER PA 2637
SHANNON DUNN APRN 5305
KENDRA GORE APRN 99814
KATHERINE GREEN APRN 12052
CANDICE HAMRE APRN 9579
JESSICA ELISE JACKSON PA 2725
REBYL JAMES APRN 16197
CHRISTOPHER TODD JAMES PA 1231
URVASHI PATEL APRN 11106
CATHERINE RENEE PAZOURECK PA 1723
ANGELA PHILLIPS APRN 79963
LORI SCOTT APRN 123944
LAVETRICE JOYCE STEELE PA 2386
SCOTT STEPHENS APRN 16734
MAX BRIAN SWENSON JR PA 15
MELISSA ANN WALKER PA 2921
BREANNA WESSELHOFT APRN 15458
DREW WOODROW APRN 11301

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