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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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THOMANN, ASHLEY MARIE       
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: CHOCTAW NATION REGIONAL MEDICAL CLINIC
1801 CHUKKA HINA DRIVE
DURANT OK 74701

Address last updated on 3/21/2024
Phone #: (580) 920-2100
Fax #:
County: BRYAN
License: 1831
Dated: 4/16/2009
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:
CHOCTAW NATION REGIONAL MEDICAL CLINIC
1801 CHUKKA HINA DRIVE
DURANT OK 74701

Phone #: (580) 920-2100
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JACOB ARCHER MD 38587
RANDALL JASON DAVAULT MD 23575
DAVID DILLOW DO 2611
TIFFANY RAE FERGUSON DO 4677
RYAN DALE FORD DO 5558
WALTER LESLIE GADBERRY MD 19690
JEFFREY GASTORF DO 3950
TERRY GERARD DO 4190
M. SCOTT GLOVER DO 4638
ASHRAF SHOHDY HABIB MD 19990
W. JOSEPH HARRISON DO 2926
OLEN LYNN JESTIS II DO 4774
JACINDA LEADFORD DO 5901
MICHAEL LEE DO 2100
ROBERT MOODY DO 5254
WILLIAM V MURRY DO 5784
KORBY ALLEN POGUE MD 27785
JEFFREY T RAINES DO 6041
VIJAY RAMCHANDRA RANDIVE MD 17879
NICHOLAS REYNOLDS DO 4492
ALEXANDER C. ROBY DO 5271
KENNETH R. WATSON DO 3796
MONICA WOODALL DO 4972
BRIAN ZIMMER DO 4826

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