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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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COOPER, EMILY JANE       
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: ST MARYS PHYSICIAN ASSOCIATES
3517 W OWEN K GARRIOTT
SUITE 4
ENID OK 73703-4953

Address last updated on 6/26/2024
Phone #: (580) 233-5553
Fax #: (580) 233-5641
County: GARFIELD
License: 29152
Dated: 7/1/2013
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Other Specialty
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: 12 / 2011
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Bass Baptist Health Center
Enid, OK
St. Mary's Regional Medical Center
Enid, OK
Locations: Hours: Languages:
ST MARYS PHYSICIAN ASSOCIATES
3517 W OWEN K GARRIOTT
SUITE 4
ENID OK 73703-4953

Phone #: (580) 233-5553
Fax #: (580) 233-5641
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
305 south 5th street
Enid, OK 73701

Phone #: (580) 548-5010
Fax #: (9) 201-
Mon: 8:00AM - 5:00PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: Wound Care
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAURA HOFFERBER APRN 83113
CHERYL PETERS APRN 79039

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