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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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TRIANA, BETHANY JEAN       
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: DERMATOLOGY ASSOCIATES OF EDMOND
3863 S. BOULVEARD
EDMOND OK 73013

Address last updated on 5/9/2024
Phone #: (405) 216-5444
Fax #:
County: OKLAHOMA
License: 2362
Dated: 1/16/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 12/30/2013
Temp. Ltr. Expires: 4/1/2014
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:
DERMATOLOGY ASSOCIATES OF EDMOND
3863 S. BOULVEARD
EDMOND OK 73013

Phone #: (405) 216-5444
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STACIE ELIZABETH ROUGAS MD 21756
JOSHUA STEPHEN WEINGARTNER MD 28508

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