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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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DAVIS, GLENN       
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: HAMILTON HEALTH BOX
201 W 1ST STREET
GRANDFIELD OK 73546

Address last updated on 11/5/2023
Phone #: (832) 841-4269
Fax #:
County: TILLMAN
License: 38899
Dated: 12/27/2021
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 6 / 1997
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 INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HAMILTON HEALTH BOX
201 W 1ST STREET
GRANDFIELD OK 73546

Phone #: (832) 841-4269
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
201 1st Street
Grandfield, OK 73546

Phone #: (866) 388-6688
Fax #: (11) 202-
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFERY CHARLES HICKMAN PA 1298
DANIELLE OLSZESKI PA 4719
RACHEL BREANNE TOMLIN PA 2421
SEAN YARBROUGH PA 4903
MARINA SIMONELLI ZANZARINI PA 4910

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