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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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NATION, CARY DOUGLAS       
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: ST ANTHONY PHYSICIANS
4651 N HARRISON
SHAWNEE OK 74804

Address last updated on 3/25/2024
Phone #: (405) 878-7160
Fax #: (405) 214-3553
County: POTTAWATOMIE
License: 1393
Dated: 2/8/2005
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:
ST ANTHONY PHYSICIANS
4651 N HARRISON
SHAWNEE OK 74804

Phone #: (405) 878-7160
Fax #: (405) 214-3553

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GREGORY GORDON GRANT MD 25087
KELLI DENISE KOONS MD 22002
MITCHELL ANDREW WOLF MD 18589

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