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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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STIVERS, JOHN JORDAN       
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: 511 S. WINDSOR DR
STILLWATER OK 74074

Address last updated on 9/27/2023
Phone #: (405) 707-0900
Fax #: (405) 707-0999
County: PAYNE
License: 39171
Dated: 6/15/2022
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2017
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
511 S. WINDSOR DR
STILLWATER OK 74074

Phone #: (405) 707-0900
Fax #: (405) 707-0999
Mon: 8:00AM - 11:30AM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JORDAN LYNNE GALLINIS PA 4896

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