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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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WEISMAN, PERRY RUSSELL       
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: ALLIANCEHEALTH PONCA CITY EMERGENCY DEPARTMENT
1900 N 14TH ST
PONCA CITY OK 74601

Address last updated on 4/19/2021
Phone #: (580) 765-3321
Fax #:
County: KAY
License: 38204
Dated: 4/19/2021
Expires: 4/1/2023
License Type: Medical Doctor
Specialty: Internal Medicine
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2024
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ALLIANCEHEALTH PONCA CITY EMERGENCY DEPARTMENT
1900 N 14TH ST
PONCA CITY OK 74601

Phone #: (580) 765-3321
Fax #:

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