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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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MCGUIRE, CARRIE HOPE       
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 PRIMARY CARE I35
2301 W I35 FRONTAGE ROAD
EDMOND OK 73013

Address last updated on 3/28/2024
Phone #: (405) 757-3365
Fax #:
County: OKLAHOMA
License: 1510
Dated: 4/1/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 12/22/2005
Temp. Ltr. Expires: 5/13/2006
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 PRIMARY CARE I35
2301 W I35 FRONTAGE ROAD
EDMOND OK 73013

Phone #: (405) 757-3365
Fax #:

Hospital Privileges:

Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ERIN K ALLEN DO 4269
STEPHEN AKIRA HOPKINS MD 24615
JEANIE L KLABZUBA DO 4229
GARY MONROE LAWRENCE MD 14150
BRENDON MCCOLLOM DO 4315
SACHIDANANDAN NAIDU MD 21643
VISAL POK MD 24047
JOHN EDWARD SEGUIN MD 19008

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