MARTIN, PARKER BON - Licensee Information

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

MARTIN, PARKER BON

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 CARDIOTHORACIC AND VASCULAR SURGERY 1000 N LEE AVE OKLAHOMA CITY OK 73102 Address last updated on 5/25/2024
Phone #:	(405) 272-7000
Fax #:
County:	OKLAHOMA
License:	2539
Dated:	7/23/2015
Expires:	3/31/2025
Temp. Ltr. Issued:	7/6/2015
Temp. Ltr. Expires:	7/24/2015
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:
SSM CARDIOTHORACIC AND VASCULAR SURGERY 1000 N LEE AVE OKLAHOMA CITY OK 73102 Phone #: (405) 272-7000 Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
MICHAEL BRUCE CANNON	MD	17716
CLIFFORD ERIC HOWELL	MD	16125
SHINOBU ITAGAKI	MD	43760
SCOTT K LUCAS	MD	11551
RONALD RAY MAGEE	MD	30423
GREGORY HUNT MCKINNIS	MD	19047
JAY FRANKLIN OAKS JR	DO	7511
NANA TOYODA	MD	43758

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