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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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PERRY, ROBERT JORDAN II       
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: INTEGRIS PONCA CITY
1900 N. 14TH ST.
PONCA CITY OK 74601

Address last updated on 6/19/2024
Phone #: (580) 765-0514
Fax #:
County: KAY
License: 27872
Dated: 7/1/2011
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
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: 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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INTEGRIS PONCA CITY
1900 N. 14TH ST.
PONCA CITY OK 74601

Phone #: (580) 765-0514
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
THOMAS FRASIER ENGLE PA 1786
ASHLEY HESSON APRN 99655
LINDSEY HESTER APRN 707
JOSEPH N STANCAMPIANO PA 4679
WILLIAM WYATT APRN 12533

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