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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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SANDERS, BILLY GRANT       
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: CHOCTAW FAMILY MEDICINE
15679 NE 23RD ST
CHOCTAW OK 73020

Address last updated on 3/19/2024
Phone #: (405) 390-9600 x108
Fax #: (405) 390-9400
County: OKLAHOMA
License: 1561
Dated: 11/2/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 10/2/2006
Temp. Ltr. Expires: 1/27/2007
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:
CHOCTAW FAMILY MEDICINE
15679 NE 23RD ST
CHOCTAW OK 73020

Phone #: (405) 390-9600 x108
Fax #: (405) 390-9400

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CARY LEE CARPENTER MD 18237
BRUCE STAFFORD DO 3919

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