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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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WEST, RYAN RENAE       
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: SSM HEALTH NEUROSCIENCE
800 NW 9TH STREET
SUITE 201
OKLAHOMA CITY OK 73106

Address last updated on 3/24/2024
Phone #: (405) 979-7875
Fax #:
County: OKLAHOMA
License: 1620
Dated: 4/1/2007
Expires: 3/31/2025
Temp. Ltr. Issued: 2/22/2007
Temp. Ltr. Expires: 5/19/2007
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:
SSM HEALTH NEUROSCIENCE
800 NW 9TH STREET
SUITE 201
OKLAHOMA CITY OK 73106

Phone #: (405) 979-7875
Fax #:

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRENT NEAL HISEY MD 14408
DONALD DEE HORTON MD 14763
JAMES MICHAEL ODOR MD 16903

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