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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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DAMRON, BUFFY       
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: MERCY GOHEALTH URGENT CARE
705 SW 19TH STREET
STE 120
MOORE OK 73160

Address last updated on 3/14/2024
Phone #: (405) 492-6799
Fax #: (405) 595-0579
County: OKLAHOMA
License: 1332
Dated: 2/20/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 1/15/2004
Temp. Ltr. Expires: 5/22/2004
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:
MERCY GOHEALTH URGENT CARE
705 SW 19TH STREET
STE 120
MOORE OK 73160

Phone #: (405) 492-6799
Fax #: (405) 595-0579

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JUBEL JHUN SULLANO BILBAO MD 25741
SCARLETT CUSTER DO 3401
STEPHEN BLAKE KELLY MD 21242

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