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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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HOGAN, JAMES CAMERON       
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: ST ANTHONY'S HEALTHPLEX EL RENO
3333 TERRITORY LANE
EL RENO OK 73036

Address last updated on 3/26/2024
Phone #: (405) 252-3500
Fax #:
County: CANADIAN
License: 1816
Dated: 4/16/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 1/15/2009
Temp. Ltr. Expires: 5/22/2009
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:
ST ANTHONY'S HEALTHPLEX EL RENO
3333 TERRITORY LANE
EL RENO OK 73036

Phone #: (405) 252-3500
Fax #:

Hospital Privileges:

Mercy Hospital El Reno (fmly Park View Hospital)
El Reno, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ERIN K ALLEN DO 4269
STEPHEN MICHAEL BARR MD 25082
CHAD BORIN DO 3746
CHRISTOPHER BRADSHAW DO 5189
CONRAD C CALDWELL III MD 22805
MARK ANDREW KEUCHEL DO 5580
JEANIE L KLABZUBA DO 4229
ALICIA KRUMMEL MD 29988
CASEY LYNN MARKLAND MD 24603
BRENDON MCCOLLOM DO 4315
DOMINIC MARION PEDULLA MD 17642
JOHN EDWARD SEGUIN MD 19008
AMI LEIGH SIEMS MD 16964
ALEXIA SMITH WRIGHT MD 27510

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