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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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HOGUE, ADAM DUANE       
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 MEDICAL GROUP
114 N HIGHWAY 18
CHANDLER OK 74834

Address last updated on 3/7/2024
Phone #: (405) 258-2500
Fax #: (405) 258-2757
County: LINCOLN
License: 1680
Dated: 4/1/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 1/11/2008
Temp. Ltr. Expires: 5/17/2008
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 MEDICAL GROUP
114 N HIGHWAY 18
CHANDLER OK 74834

Phone #: (405) 258-2500
Fax #: (405) 258-2757

Hospital Privileges:

Medical Center of Southeastern OK
Durant, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOSEPH A BRADEN DO 2773
RANDALL JASON DAVAULT MD 23575
DAVID DILLOW DO 2611
TIFFANY RAE FERGUSON DO 4677
JAMES FORD DO 1932
JEFFREY GASTORF DO 3950
TERRY GERARD DO 4190
M. SCOTT GLOVER DO 4638
KEVIN HUBBARD DO 2532
KELLI DENISE KOONS MD 22002
MICHAEL LEE DO 2100
DAVID LOVELACE DO 2710
ROBERT MOODY DO 5254
NICHOLAS REYNOLDS DO 4492
WENDELL RICHARDS DO 2298
ALEXANDER C. ROBY DO 5271
CHARLES LAMONT SORENSON MD 16221
MICHAEL STAFFORD DO 2397
DAVID TILLES DO 3292
MITCHELL ANDREW WOLF MD 18589
MONICA WOODALL DO 4972

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