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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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CLAY, BAMBI AZALEE       
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: KIAMICHI FAMILY MEDICAL CENTER
204 EAST JACKSON
HUGO OK 74743

Address last updated on 3/7/2024
Phone #: (580) 326-9555
Fax #:
County: CHOCTAW
License: 1343
Dated: 5/10/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 2/4/2004
Temp. Ltr. Expires: 5/26/2004
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:
KIAMICHI FAMILY MEDICAL CENTER
204 EAST JACKSON
HUGO OK 74743

Phone #: (580) 326-9555
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BILLY JOE BUFFINGTON MD 15483
NOEL W EMERSON DO 3521
WAYNE FLATT DO 2521
BETH L. LEADER DO 2795
VICTORIA E. PARDUE DO 2840
TEDDY RAY ROWLAND MD 14790

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