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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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HEISE, WILL DONALD       
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: SAINT ANTHONY PHYSICIANS EAST
18961 NE 23RD STREET
HARRAH OK 73045

Address last updated on 3/31/2024
Phone #: (405) 390-1800
Fax #: (405) 390-3846
County: OKLAHOMA
License: 32026
Dated: 4/25/2016
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: General Practice
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 / 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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SAINT ANTHONY PHYSICIANS EAST
18961 NE 23RD STREET
HARRAH OK 73045

Phone #: (405) 390-1800
Fax #: (405) 390-3846
Mon: 7:30AM - 4:30PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TIFFANI LOWELL APRN 102263
ALISHA SMITH APRN 75434
AUBREY WILLIAMSON APRN 102508
JOHN WILLIAMSON APRN 102511

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