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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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ARCHER-WEBB, DEVORAH ANN       
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: ADVANCED CLINICS OF OKLAHOMA
421 NW10TH SUITE 203E
OKLAHOMA CITY OK 73013

Address last updated on 6/4/2024
Phone #: (405) 632-4616
Fax #:
County: OKLAHOMA
License: 1107
Dated: 4/1/2001
Expires: 3/31/2025
Temp. Ltr. Issued: 1/4/2001
Temp. Ltr. Expires: 3/31/2001
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:
ADVANCED CLINICS OF OKLAHOMA
421 NW10TH SUITE 203E
OKLAHOMA CITY OK 73013

Phone #: (405) 632-4616
Fax #:

Hospital Privileges:

Hospital for Special Surgery (OneCore Health) - OKC
Oklahoma City, OK
McBride Orthopedic Hospital
Oklahoma City, OK
Surgical Hospital of Oklahoma
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ARTHUR HOBART CONLEY III MD 21476
SHON WILLIAM COOK MD 24168
JASON EMERSON DO 3947
WINSTON FONG MD 26909
LEE PRENTICE FRYE MD 12308
LAURA RUTH LUICK MD 30719
JISS KANJIRAKATTU MATHEW MD 28603
L TODD OLSEN DO 4132
MICHAEL ANTHONY PADILLA MD 31216
CHENG-LUN SOO MD 21124

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