Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

HAMMOCK, STEPHEN RANDALL       
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: PRIMARY - CARE CLINIC
1001 SOUTH 41ST STREET EAST
MUSKOGEE OK 74403

Address last updated on 6/19/2018
Phone #: (405) 871-9000
Fax #:
County: MUSKOGEE
License: 2168
Dated: 2/4/2013
Expires: 3/31/2019
Temp. Ltr. Issued: 1/25/2013
Temp. Ltr. Expires: 4/1/2013
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2019
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:
PRIMARY - CARE CLINIC
1001 SOUTH 41ST STREET EAST
MUSKOGEE OK 74403

Phone #: (405) 871-9000
Fax #:

Hospital Privileges:

None listed

Return to Search Licensees page