ARNOLD, RICK DWAYNE - Licensee Information

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

ARNOLD, RICK DWAYNE

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:	180 DIRECT PRIMARY CARE 3921 WEST WILLOW RD. SUITE A. ENID OK 73703 Address last updated on 9/4/2024
Phone #:	(580) 297-5078
Fax #:
County:	GARFIELD
License:	2300
Dated:	10/28/2013
Expires:	3/31/2025
Temp. Ltr. Issued:	9/13/2013
Temp. Ltr. Expires:	11/8/2013
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:
180 DIRECT PRIMARY CARE 3921 WEST WILLOW RD. SUITE A. ENID OK 73703 Phone #: (580) 297-5078 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
DWAYNE L. JANZEN	DO	1639
RENAE LYNE MAYER	MD	22105

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