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Oklahoma Board of Medical Licensure and Supervision

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

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PAUL, JOHN THOMAS       
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: MERCY ORTHOPEDICS
731 12TH AVE NW
STE 203
ARDMORE OK 73401

Address last updated on 5/14/2024
Phone #: (580) 220-6950
Fax #:
County: CARTER
License: 2395
Dated: 7/17/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 6/20/2014
Temp. Ltr. Expires: 7/18/2014
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:
MERCY ORTHOPEDICS
731 12TH AVE NW
STE 203
ARDMORE OK 73401

Phone #: (580) 220-6950
Fax #:

Hospital Privileges:

Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RORY C. DUNHAM DO 3659
DERECK PEERY DO 4546
JOEL KEITH TROOP MD 16678

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