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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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RAZA, AMIR       
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: OUCP ORTHOPEDIC PEDIATRIC CLINIC
1200 N PHILLIPS SUITE 3100
OKLAHOMA CITY OK 73104

Address last updated on 3/11/2024
Phone #: (405) 271-2669
Fax #:
County: OKLAHOMA
License: 1995
Dated: 1/13/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 1/7/2011
Temp. Ltr. Expires: 3/11/2011
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:
OUCP ORTHOPEDIC PEDIATRIC CLINIC
1200 N PHILLIPS SUITE 3100
OKLAHOMA CITY OK 73104

Phone #: (405) 271-2669
Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHEILA MARIE ALGAN MD 25626
DAVID YUNG-PING CHONG MD 30554
JOSEPH PATRICK DAVEY MD 21295
WILLIAM JOHN JOSEPH ERTL MD 23069
JAMES RICHARD GREGORY MD 27041
PAUL ALAN KAMMERLOCHER MD 17277
ZEESHAAN IQBAL KHAN MD 27364
THOMAS P. LEHMAN MD 20240
THOMAS ROY LEWIS MD 24039
CHARLES BLAKE PASQUE MD 17273
TIMOTHY ANDREW PUCKETT MD 18047
WILLIAM RAY PUFFINBARGER MD 18040
ZACHARY VAUGHN ROBERTS MD 25625
JAMES ANDY SULLIVAN MD 10917
DAVID CARLTON TEAGUE MD 16967
CHRISTOPHER BYBEE WHITE MD 24780
JEREMY RUSSELL WHITE MD 26943

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