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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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BISHOP, DAVID       
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: 941 W I35 FRONTAGE RD STE 116 PMB 113
EDMOND OK 73034

Address last updated on 10/17/2024
Phone #: (405) 412-3256
Fax #: (678) 829-0628
County: OKLAHOMA
License: 30562
Dated: 7/1/2015
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2014
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
941 W I35 FRONTAGE RD STE 116 PMB 113
EDMOND OK 73034

Phone #: (405) 412-3256
Fax #: (678) 829-0628
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941 w I35 Frontage rd ste 116 PMB113
edmond, OK 73034

Phone #: (405) 412-3256
Fax #: (3) 202-
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1301 Lincoln Rd
idabel, OK 74745

Phone #: (405) 412-3256
Fax #: (6) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SLADE DOLLARHIDE APRN 20185
CADE HENSON PA 5152
KARYN LANE APRN 60099
MISTI LEONARD APRN 15192
MELISSA PIERCE APRN 63024
HEATHER PRENTICE APRN 86291
KIMBERLY REEDER APRN 92

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