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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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MASTERMAN, MARY       
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: SSM FAMILY MEDICINE
1110 N LEE SUITE 300
OKLAHOMA CITY OK 73103

Address last updated on 5/24/2024
Phone #: (405) 231-3000
Fax #:
County: OKLAHOMA
License: 34682
Dated: 7/10/2019
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: VANDERBILT UNIV SCH OF MED, NASHVILLE TN 37232
Graduated: 5 / 2016
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: Grady Memorial Hospital
Chickasha, OK
Locations: Hours: Languages:
SSM FAMILY MEDICINE
1110 N LEE SUITE 300
OKLAHOMA CITY OK 73103

Phone #: (405) 231-3000
Fax #:
Mon:
Tue: 8:15AM - 5:00PM
Wed: 8:15AM - 5:00PM
Thu: 8:15AM - 5:00PM
Fri: 8:15AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MARY AMANDA ROSS PA 1949

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