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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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UMOBUARIE, EJEEHI       
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: MARANATHA PEDIATRICS
341 SOUTH 28TH STREET
CLINTON OK 73601

Address last updated on 1/10/2024
Phone #: (580) 323-8747
Fax #: (580) 323-8426
County: CUSTER
License: 29679
Dated: 2/14/2013
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Benin, Fac of Med, Benin City, Edo State, Nigeria
Graduated: 3 / 1999
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Clinton Regional Hospital
Clinton, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
Locations: Hours: Languages:
MARANATHA PEDIATRICS
341 SOUTH 28TH STREET
CLINTON OK 73601

Phone #: (580) 323-8747
Fax #: (580) 323-8426
Mon: 9:00AM - 5:00PM LUNCH BREAK 12PM TO 1PM
Tue: 9:00AM - 5:00PM LUNCH BREAK 12PM TO 1PM
Wed: 9:00AM - 5:00PM LUNCH BREAK 12PM TO 1PM
Thu: 9:00AM - 5:00PM LUNCH BREAK 12PM TO 1PM
Fri: 9:00AM - 12:00PM
Sat: CLOSED
Sun: CLOSED
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICOLE WEDEL APRN 12282

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