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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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HOMER, JUSTIN LEE       
Practice Address: ST ANTHONY
1000 N. LEE
OKLAHOMA CITY OK 73101

Address last updated on 10/25/2024
Phone #: (405) 231-8950
Fax #:
County: OKLAHOMA
License: 2158
Dated: 8/17/2012
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:
ST ANTHONY
1000 N. LEE
OKLAHOMA CITY OK 73101

Phone #: (405) 231-8950
Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
YOUNG HWAN CHANG MD 33926
TRENT RUSSELL JAMES MD 32935
TROY DEAN LONG MD 21248
TARA D. STEWART DO 5252

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