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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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WARD, MARY ANN       
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: AXIS HEALTHCARE-PRAGUE
810 9TH STREET
PRAGUE OK 74864

Address last updated on 3/7/2024
Phone #: (405) 566-3411
Fax #: (405) 566-3410
County: LINCOLN
License: 1707
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:
AXIS HEALTHCARE-PRAGUE
810 9TH STREET
PRAGUE OK 74864

Phone #: (405) 566-3411
Fax #: (405) 566-3410

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRET HUBBARD DO 3627
BRADLEY DUANE LOWERY MD 16960

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