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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

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BEAMON, SHELBY MATTHIAS       
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: OU HEALTH PHYSICIANS FAMILY MEDICINE CENTER
900 NE 10TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 11/5/2024
Phone #: (405) 271-4311
Fax #: (405) 271-4059
County: OKLAHOMA
License: 1859
Dated: 4/1/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 12/4/2009
Temp. Ltr. Expires: 5/21/2010
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:
OU HEALTH PHYSICIANS FAMILY MEDICINE CENTER
900 NE 10TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4311
Fax #: (405) 271-4059

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KATHRYN ELIZABETH HULL REILLY MD 15679
ROBERT CORRALES SALINAS MD 20174

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