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Oklahoma Board of Medical Licensure and Supervision

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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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REED, DEBORAH BALLARD       
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: 2900 S. TELEPHONE RD SUITE 250
MOORE OK 73160

Address last updated on 11/7/2024
Phone #: (405) 237-7500
Fax #: (405) 237-7512
County: OKLAHOMA
License: 1546
Dated: 7/20/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 6/30/2006
Temp. Ltr. Expires: 11/4/2006
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:
2900 S. TELEPHONE RD SUITE 250
MOORE OK 73160

Phone #: (405) 237-7500
Fax #: (405) 237-7512

Hospital Privileges:

Hospital Not Listed
,
INTEGRIS Edmond
Edmond, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
Purcell Municipal Hospital
Purcell, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GLEN HOWARD BAILEY DO 3838
STEVEN BRENT BARNES MD 18976
CHAD BORIN DO 3746
LYNDON DREW ELDRIDGE DO 3946
JAMES MICHAEL FITZGERALD DO 3949
JOHN FITZGERALD DO 5556
KEVIN HOOS DO 4301
DAVID ALLAN LONG II MD 20241
BRANDY NICOLE MONTES MD 30832
BRIAN ALAN PLAXICO DO 3903
JAY P REYNOLDS DO 3783
DANIELLE LEILANI RUSSELL DO 5275

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