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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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CARTER, RANDALL ALLEN       
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: SSM HEALTH MOORE PRIMARY CLINIC
1400 SE 4TH ST
SUITE H
MOORE OK 73160

Address last updated on 3/1/2024
Phone #: (405) 799-7400
Fax #: (405) 799-7405
County: CLEVELAND
License: 1045
Dated: 6/5/2000
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
SSM HEALTH MOORE PRIMARY CLINIC
1400 SE 4TH ST
SUITE H
MOORE OK 73160

Phone #: (405) 799-7400
Fax #: (405) 799-7405

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BOB R ABERNATHY DO 2075
RYAN MARSHALL BIGGERS MD 22930
CHRISTOPHER BRADSHAW DO 5189
CONRAD C CALDWELL III MD 22805
MARK ANDREW KEUCHEL DO 5580
STEVEN KING DO 3770
JULIE LEWIS DO 5247
LARRY LOVELACE DO 2438
JAMES ROBERT PETERSEN DO 5698
LARRY LEE RUFFIN JR DO 4330

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