MOGAN, MEREDITH LEIGH - Licensee Information

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

MOGAN, MEREDITH 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:	CENTER FOR MEN'S HEALTH INC 17138 S PEORIA AVE TULSA OK 74120-6801 Address last updated on 3/28/2024
Phone #:	(918) 622-2500
Fax #:
County:	TULSA
License:	1884
Dated:	2/26/2010
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:
CENTER FOR MEN'S HEALTH INC 17138 S PEORIA AVE TULSA OK 74120-6801 Phone #: (918) 622-2500 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
DUSTIN RILEY BAKER	MD	23973
JOSEPH CLIFTON BROOME	MD	23006
WILLIAM BLAINE PRICE JR	DO	4111

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