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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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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

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
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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