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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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LECK, SONYA EISENHOUR       
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 FAMILY NORTHWEST
5201 W. MEMORIAL RD
OKLAHOMA CITY OK 73142

Address last updated on 2/22/2024
Phone #: (405) 755-4050
Fax #:
County: OKLAHOMA
License: 1395
Dated: 4/1/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 11/18/2004
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:
MERCY FAMILY NORTHWEST
5201 W. MEMORIAL RD
OKLAHOMA CITY OK 73142

Phone #: (405) 755-4050
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEPHEN MICHAEL BARR MD 25082
CHARLES CRAIG ELKINS MD 20620
DANIEL ROSS FRENO MD 38118
RANDALL EDWARD HERRIN MD 24698
JONATHAN M KNOX DO 3130
SCOTT K LUCAS MD 11551
JAMES DAVID NEEL MD 26456
MICHAEL CHRISTOPHER PALMER MD 39636
JONES PHILIP THOMAS MD 39503
DAVID WADE VANHOOSER MD 14368
TEDDY EUGENE WEBB MD 11834

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