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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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TOUGAS, BERNARD       
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: ST MADRON MEDICAL CLINIC
205 EAST RAY FINE BLVD #6
ROLAND OK 74954

Address last updated on 6/24/2024
Phone #: (918) 503-6235
Fax #: (918) 503-6239
County: SEQUOYAH
License: 1536
Dated: 4/26/2006
Expires: 3/31/2025
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:
ST MADRON MEDICAL CLINIC
205 EAST RAY FINE BLVD #6
ROLAND OK 74954

Phone #: (918) 503-6235
Fax #: (918) 503-6239

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KRAIG ELMER LORENZEN MD 32866
Nancy Christene Merritt DO 4429
MELANIE WILLIS DO 6125

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