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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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IVEN, PATRICIA JOYCE       
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: PREMIER FAMILY CARE
1130 E LANSING ST
BROKEN ARROW OK 74012

Address last updated on 3/15/2024
Phone #: (918) 258-9990
Fax #: (918) 251-9339
County: TULSA
License: 2072
Dated: 1/12/2012
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:
PREMIER FAMILY CARE
1130 E LANSING ST
BROKEN ARROW OK 74012

Phone #: (918) 258-9990
Fax #: (918) 251-9339

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SCOTT JOEL FOWLER DO 4635
JAY ALAN GEARY MD 23712

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