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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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PAPE, RANDALL ASHLEY       
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: THE PHYSICIANS GROUP, LLC
9800 BROADWAY EXT, STE 201
OKLAHOMA CITY OK 73114-6304

Address last updated on 9/17/2024
Phone #: (405) 424-5426
Fax #:
County: OKLAHOMA
License: 1481
Dated: 4/1/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 2/24/2014
Temp. Ltr. Expires: 5/16/2014
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:
THE PHYSICIANS GROUP, LLC
9800 BROADWAY EXT, STE 201
OKLAHOMA CITY OK 73114-6304

Phone #: (405) 424-5426
Fax #:

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRETT ALAN BRALY MD 30393
RORY C. DUNHAM DO 3659
PAUL JACOB DO 5494
DATHAN DUANE JAY MD 23512
JAMES CALVIN JOHNSON MD 15302
NICHOLAS ROBERT JOHNSON MD 42429
Faustino Mires Kazenske DO 5505
JOSH ERIC MCWILLIAMS MD 23717
MARK GRADY MILES MD 18554
GERARDO MORALES MYRIN MD 33739
NATHANIEL MONNET ODOR MD 32402

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