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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 3:49 AM CST
Next Update: Sunday, December 22, 2024 12:00 PM CST

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MONTES, BRANDY NICOLE       
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: 2900 SOUTH TELEPHONE RD
MOORE OK 73160

Address last updated on 12/18/2024
Phone #: (405) 237-7500
Fax #:
County: CLEVELAND
License: 30832
Dated: 7/1/2016
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: General Practice
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 11 / 2013
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: None listed
Locations: Hours: Languages:
2900 SOUTH TELEPHONE RD
MOORE OK 73160

Phone #: (405) 237-7500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEPHANIE VAN-ANH BADAROUX PA 2885
BRYAN BARNES APRN 92700
KEVIN EDWIN BEAVER PA 2637
ELIZABETH DISALVATORE PA 4688
TAYLOR NICOLE ELY PA 4660
SHEILA RAE GOFORTH PA 897
JAYCI RAE LEWIS PA 3054
DEBORAH BALLARD REED PA 1546

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