BRANSON, DENISE RENEE - 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

BRANSON, DENISE RENEE

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:	SSM HEALTH MEDICAL GROUP MUSTANG 201 S SARA ROAD #200 MUSTANG OK 73064 Address last updated on 2/7/2024
Phone #:	(405) 578-3250
Fax #:
County:	CANADIAN
License:	2433
Dated:	11/7/2014
Expires:	3/31/2025
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:
SSM HEALTH MEDICAL GROUP MUSTANG 201 S SARA ROAD #200 MUSTANG OK 73064 Phone #: (405) 578-3250 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MIRIAM ELAINE THOMPSON-MATHEW	MD	24609

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