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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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DAVIS, BRENT MICHAEL       
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: TEAM HEALTH EMERGENCY PHYSICIANS
2900 S TELEPHONE ROAD SUITE 250
MOORE OK 73160

Address last updated on 2/25/2024
Phone #: (405) 237-7506
Fax #: (865) 291-3646
County: CLEVELAND
License: 2052
Dated: 1/12/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 12/16/2011
Temp. Ltr. Expires: 4/1/2012
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:
TEAM HEALTH EMERGENCY PHYSICIANS
2900 S TELEPHONE ROAD SUITE 250
MOORE OK 73160

Phone #: (405) 237-7506
Fax #: (865) 291-3646

Hospital Privileges:

Purcell Municipal Hospital
Purcell, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JACK MARTIN BAIR MD 14272
CHAD BORIN DO 3746
RONALD M CABLE JR DO 3449
CONRAD C CALDWELL III MD 22805
DOUGLAS B COFFMAN DO 3251
KEITH KURT FISCHBORN MD 27723
AFSANEH FOROOZAN DO 3094
SERGIO GREG GARCIA MD 28909
TERRY CHARLES HERMANCE MD 25607
JESSICA DAWN HILDEBRAND MD 24769
ERIN POWERS KINNEY DO 540
JULIE LEWIS DO 5247
RYAN LYNCH DO 5406
ERIC AVERY REDDICK MD 27847
SCOTT EDWIN ROGERS MD 27262
PHILIP LEON SLOAN MD 28808
STEPHEN KOJI SPARKS DO 4559
TARA D. STEWART DO 5252

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