BALL, AUDRA SUZANNE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

BALL, AUDRA SUZANNE

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:	THE PHYSICIANS GROUP LLC 6600 NORTH OLIE AVE SUITE C OKLAHOMA CITY OK 73116 Address last updated on 6/9/2024
Phone #:	(405) 419-5665
Fax #:	(405) 419-5429
County:	OKLAHOMA
License:	1589
Dated:	1/25/2007
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:
THE PHYSICIANS GROUP LLC 6600 NORTH OLIE AVE SUITE C OKLAHOMA CITY OK 73116 Phone #: (405) 419-5665 Fax #: (405) 419-5429

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
ASHLEY CALDWELL COGAR	MD	25001
LAURA SARFATIS MILES	MD	18054

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