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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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ATWOOD, PEGGY S       
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: ALLEN HEALTH FIRST
200 EASTON
ALLEN OK 74825

Address last updated on 3/22/2024
Phone #: (580) 857-1300
Fax #: (580) 857-1302
County: PONTOTOC
License: 1237
Dated: 4/1/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 2/6/2003
Temp. Ltr. Expires: 3/29/2003
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:
ALLEN HEALTH FIRST
200 EASTON
ALLEN OK 74825

Phone #: (580) 857-1300
Fax #: (580) 857-1302

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GLEN EDWARD DIACON JR MD 16231
SCOTT E. EVANS DO 4899

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