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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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STALLCUP, JAMES WILLIAM       
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: CHEROKEE NATION WILMA P MANKILLER HEALTH CTR
471688 HIGHWAY 51
STILWELL OK 74960

Address last updated on 1/18/2024
Phone #: (918) 696-8800
Fax #:
County: ADAIR
License: 27612
Dated: 3/17/2010
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2004
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
AMERICAN BOARD OF PREVENTIVE MEDICINE - Clinical Informatics
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHEROKEE NATION WILMA P MANKILLER HEALTH CTR
471688 HIGHWAY 51
STILWELL OK 74960

Phone #: (918) 696-8800
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DARYLIN DOUBLEHEAD APRN 109794
ALEXANDRIA MARIE ERVIN PA 2940
RHONDA JAMES APRN 85427
MADISON RYLEE KITCHENS PA 4399

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