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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

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LONG, JOHN PAUL III       
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: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 6/12/2024
Phone #: (580) 436-3980
Fax #: (580) 421-4552
County: PONTOTOC
License: 34151
Dated: 8/7/2018
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2016
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: Chickasaw Nation Medical Center
Ada, OK
Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980
Fax #: (580) 421-4552
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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