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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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PICKETT, STEPHANIE DETER       
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: MERCY
2017 W. I-35 FRONTAGE ROAD
SUITE 260
EDMOND OK 73013-8504

Address last updated on 5/24/2024
Phone #: (405) 216-4004
Fax #: (405) 216-4008
County: OKLAHOMA
License: 29015
Dated: 6/1/2012
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2008
CME Year: 2027
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
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY - Female Pelvic Medicine and Reconstructive Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY
2017 W. I-35 FRONTAGE ROAD
SUITE 260
EDMOND OK 73013-8504

Phone #: (405) 216-4004
Fax #: (405) 216-4008
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KALI HAMMONDS PA 4586
BELEN SCHERING PA 5340

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