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MCCLURE, SHELLEY ANN       
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: PREMIER PHLEBOLOGY
2210 N. 14TH STREET
PONCA CITY OK 74601

Address last updated on 11/8/2012
Phone #: (316) 425-7980
Fax #: (316) 425-7982
County: KAY
License: 28820
Dated: 12/8/2011
Expires: 12/1/2013
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1995
CME Year: 2014
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 OBSTETRICS AND GYNECOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PREMIER PHLEBOLOGY
2210 N. 14TH STREET
PONCA CITY OK 74601

Phone #: (316) 425-7980
Fax #: (316) 425-7982
Mon: 9:00AM - 4:30PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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