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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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BRAND, JEFFREY ALLEN       
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: MAGUM REGIONAL MEDICAL CENTER
ONE WICKERSHAM DR
MANGUM OK 73554

Address last updated on 2/1/2024
Phone #: (580) 782-3353
Fax #: (580) 782-5905
County: GREER
License: 1849
Dated: 10/19/2009
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:
MAGUM REGIONAL MEDICAL CENTER
ONE WICKERSHAM DR
MANGUM OK 73554

Phone #: (580) 782-3353
Fax #: (580) 782-5905

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AARTI KANWAL ATTREYA-LATUSO MDC 39084
JOHN J CHIAFFITELLI DO 3345
RICARDO ALBERTO DE LEON MD 34722
WASEEM GHANNAM MD 34343
ANA MARIA HUBERT MD 34342
JOHN MARSHALL HUSER IV MD 30638
SAMANTHA LEWELLEN JACKSON MD 19876
ENDIA CHERESE JOHNSON-PITTS MD 35578
ASHUTOSH SUNIL KARNIK MD 27466
AMER YAR KHAN MD 35539
ELIZABETH G MATHEWS MD 37854
ALTAMASH IZHAR QURESHI MD 38422
ROSS D RIDDLE DO 5803
JULIE ANNE SCHAUFELE MD 22008
THERESA CIARDI SHEEHAN MD 34545
SRIKRISHNA VULAVA MDC 39093

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