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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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WELLMAN, AMBER M       
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: 3957 EAST COVELL ROAD
EDMOND OK 73034

Address last updated on 2/20/2024
Phone #: (405) 285-7246
Fax #: (405) 285-7546
County: OKLAHOMA
License: 1394
Dated: 2/4/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 11/12/2004
Temp. Ltr. Expires: 4/2/2005
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:
3957 EAST COVELL ROAD
EDMOND OK 73034

Phone #: (405) 285-7246
Fax #: (405) 285-7546

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ARCHANA PADMAKAR BARVE MD 20734
BRUCE ALAN MACKEY MD 16205
Nevinson Sam DO 6588

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