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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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SEVERANCE, BETSY LEIGH       
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: INTEGRIS BAPTIST MEDICAL CENTER
3433 NW 56TH STREET
BUILDING B SUITE 760
OKLAHOMA CITY OK 73112

Address last updated on 3/14/2024
Phone #: (405) 951-4345
Fax #:
County: OKLAHOMA
License: 1865
Dated: 1/15/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 12/11/2009
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:
INTEGRIS BAPTIST MEDICAL CENTER
3433 NW 56TH STREET
BUILDING B SUITE 760
OKLAHOMA CITY OK 73112

Phone #: (405) 951-4345
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ROBERT L. ARCHER DO 1962
CHARLES CRAIG ELKINS MD 20620
DANIEL ROSS FRENO MD 38118
JAMES HARRISON NEEL MD 25871
JAMES DAVID NEEL MD 26456
MICHAEL CHRISTOPHER PALMER MD 39636
JONES PHILIP THOMAS MD 39503
BOMAONYE RALPH TIENABESO MD 39686
DAVID WADE VANHOOSER MD 14368

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