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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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TAYLOR, LESLIE ANNE       
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: TULSA X-RAY LAB-DIAGNOSTIC INTERVENTION RADIOLOGY
1120 S UTICA AVE
TULSA OK 74104

Address last updated on 8/31/2024
Phone #: (918) 934-8347
Fax #:
County: TULSA
License: 1109
Dated: 4/1/2001
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:
TULSA X-RAY LAB-DIAGNOSTIC INTERVENTION RADIOLOGY
1120 S UTICA AVE
TULSA OK 74104

Phone #: (918) 934-8347
Fax #:

Hospital Privileges:

Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOEL ADKISSON DO 3439
TATE BRANDON ALLEN MD 21029
BRAD CARLSON MD 27684
MICHAEL EDWIN CLOUSER MD 11507
MICHAEL CONNOR CROSS MD 25836
MATTHEW KENT FORD MD 29076
SUCHITRA GODARA MD 26984
DAVID JAY HARRIS MD 18423
CONNOR DAVID HASBROOK MD 35560
KELLY LAWSON HASTINGS MD 33422
KIM ROYCE HAUGER MD 15635
ANDREW HENDRICKSON MD 29125
CHARLES HOUNSHELL DO 6850
JOHN HOUSTON JENNINGS MD 20196
John Henry Kephart II DO 5761
ANIL A KILPADIKAR MD 24891
MARK DAVID KRAEMER MD 18510
JEROME WILLIAM LARSON MD 35610
LAURA LEIGH DACUS LEE MD 12850
STEVEN BERNARD LEONARD MD 18138
GEORGE DAVID LYONS MD 21107
RYAN S. MAKIPOUR MD 39058
JASON DONALD MARTENS MD 22358
EMILY RACHEL NORMAN MD 25203
HARISH PATEL MD 27043
Erik Edward Paulson DO 4943
STEVEN ELLIOTT SHEFFNER MD 17759
JEFFREY SCOTT STAFIRA MD 22902
W JORDAN TAYLOR MD 19744
PHILLIP TRAINO JR DO 3888
NHAN P. TRUONG MD 18537
THOMAS ELMER WILEY III MD 24695
Hooby Pius Yoon DO 4342

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