MCFADDEN, HEATHER A - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

MCFADDEN, HEATHER A

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:	SAINTS DERMATOLOGY CENTER OF EXCELLENCE 9720 NORTH BROADWAY EXTENSION OKLAHOMA CITY OK 73114 Address last updated on 3/15/2024
Phone #:	(405) 280-7546
Fax #:
County:	OKLAHOMA
License:	2221
Dated:	1/10/2013
Expires:	3/31/2025
Temp. Ltr. Issued:	1/4/2013
Temp. Ltr. Expires:	4/1/2013
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:
SAINTS DERMATOLOGY CENTER OF EXCELLENCE 9720 NORTH BROADWAY EXTENSION OKLAHOMA CITY OK 73114 Phone #: (405) 280-7546 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
TIFFANY GAIL BRAZEAL	MD	27705
RENEE HAMEL GRAU	MD	22879

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