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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BODINE, AMANDA       
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: IMMEDIATE CARE URGENT CARE
805 W COVELL RD #200
EDMOND OK 73003

Address last updated on 4/11/2024
Phone #: (405) 216-5373
Fax #:
County: OKLAHOMA
License: 2060
Dated: 1/12/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 11/23/2016
Temp. Ltr. Expires: 3/2/2017
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:
IMMEDIATE CARE URGENT CARE
805 W COVELL RD #200
EDMOND OK 73003

Phone #: (405) 216-5373
Fax #:

Hospital Privileges:

Anadarko Municipal Hospital
Anadarko, OK
Rural Wellness Stroud (fmly Stroud Regional Med. Ctr.)
Stroud, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFREY WILLIAM L'HOMMEDIEU MD 19872
ROBERT ARNOLD TODD JR MD 24233

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