ELDER, SAMUEL MORRIS - Licensee Information

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

ELDER, SAMUEL MORRIS

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:	OKLAHOMA UNIVERSITY MEDICAL CENTER 700 NE 13TH ST. OKLAHOMA CITY OK 73104 Address last updated on 3/19/2024
Phone #:	(405) 271-3667
Fax #:
County:	OKLAHOMA
License:	2560
Dated:	12/31/2015
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:
OKLAHOMA UNIVERSITY MEDICAL CENTER 700 NE 13TH ST. OKLAHOMA CITY OK 73104 Phone #: (405) 271-3667 Fax #:

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK

Name:	Type:	License Number:
Primary Supervisor(s):
HERSCHEL LAWRENCE BROWN	MD	18034
RANDALL EDWARD HERRIN	MD	24698

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