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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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JOHNSTON, STEPHEN       
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: STANBRO HEALTHCARE GROUP LLC
2000 E 15TH STREET
#400A
EDMOND OK 73013-6673
Address last updated on 3/31/2024
Phone #: (405) 341-1697
Fax #: (405) 341-2672
County: OKLAHOMA
License: 2500
Dated: 4/30/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 3/5/2015
Temp. Ltr. Expires: 5/15/2015
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:
STANBRO HEALTHCARE GROUP LLC
2000 E 15TH STREET
#400A
EDMOND OK 73013-6673
Phone #: (405) 341-1697
Fax #: (405) 341-2672

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHELLE M. HOLLOWAY MD 18507
PETER BRENT STANBRO MD 27353

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