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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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FARRIS, MICHAEL J       
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: SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD LAWTON OK 73505
LAWTON OK 73505

Address last updated on 7/22/2024
Phone #: (580) 531-4700
Fax #:
County: COMANCHE
License: 43649
Dated: 6/7/2024
Expires: 6/1/2025
Temp. Lic. Issued: 5/29/2024
Temp. Lic. Expires: 7/25/2024
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 2000
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Siloam Springs Memorial Medical Center
Siloam Springs, AR
Southwestern Medical Center
Lawton, OK
Locations: Hours: Languages:
SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD LAWTON OK 73505
LAWTON OK 73505

Phone #: (580) 531-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRIAN ANDREW JANEK PA 2393
RYAN SAND APRN 875
DEANNA SCRUGGS APRN 11027

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