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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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MCVAY-GILLAM, MARCENE       
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: WARREN CLINIC - SAINT FRANCIS
6600 S YALE AVE SUITE 1200
TULSA OK 74136

Address last updated on 9/5/2024
Phone #: (918) 494-9450
Fax #: (918) 494-9537
County: TULSA
License: 42264
Dated: 11/8/2023
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Pediatric Surgery (Surgery)
General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2004
CME Year: 2026
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 SURGERY
AMERICAN BOARD OF SURGERY (Surgery specific) - Pediatric Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
WARREN CLINIC - SAINT FRANCIS
6600 S YALE AVE SUITE 1200
TULSA OK 74136

Phone #: (918) 494-9450
Fax #: (918) 494-9537
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHANNON MICHELLE JACOBY PA 1998
JULIE MARIE REDINGTON PA 1399
PATRICIANN MICHAEL TATE PA 1744
ANGELA MARIE WROBLESKI PA 1400

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