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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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ZAGARI STUPPIELLO, GISELLE       
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: EMERGENCY PHYSICIANS OF MIDWEST CITY
OU EDMOND
1 SOUTH BRYANT
EDMOND OK 73034

Address last updated on 2/3/2024
Phone #: (405) 359-5561
Fax #:
County: OKLAHOMA
License: 34613
Dated: 4/12/2019
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduated: 5 / 2005
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
EMERGENCY PHYSICIANS OF MIDWEST CITY
OU EDMOND
1 SOUTH BRYANT
EDMOND OK 73034

Phone #: (405) 359-5561
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOHNNIE GILPEN JR PA 3116
KALLIE BLYTHE HUMPHREYS PA 2188
JESSICA MURPHY MCKEE PA 4663
MICAH STEVEN METHENY PA 2844
STEPHANIE A STEPHENS PA 4439

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