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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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GREEN, ROBERT WAYNE
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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.
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| Practice Address: |
1416 GLENMERE CT
EDMOND OK 73003
Address last updated on 3/24/2024 |
| Phone #: |
(405) 209-8918 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
1526 |
| Dated: |
4/26/2006 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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1/20/2006 |
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Temp.
Ltr.
Expires:
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5/13/2006 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Summit Medical Center
Edmond, OK
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