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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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NELSON, ELIZABETH MICHEL       
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: OU PHYSICIANS CANYON PARK FAMILY MEDICINE
1501 E. 19TH ST.
EDMOND OK 73013

Address last updated on 5/2/2024
Phone #: (405) 348-6611
Fax #:
County: OKLAHOMA
License: 31582
Dated: 6/4/2015
Expires: 6/1/2025
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 / 2012
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:
OU PHYSICIANS CANYON PARK FAMILY MEDICINE
1501 E. 19TH ST.
EDMOND OK 73013

Phone #: (405) 348-6611
Fax #:
Mon:
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu:
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TODD KOCH PA 5067
MICHELE MARANTO APRN 63497

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