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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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CODDING, ASHLEY MARIE HALE       
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: MODERN ENDOCRINE
1616 S KELLY AVE
EDMOND OK 73013

Address last updated on 7/11/2024
Phone #: (405) 286-1571
Fax #:
County: OKLAHOMA
License: 2590
Dated: 1/4/2016
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:
MODERN ENDOCRINE
1616 S KELLY AVE
EDMOND OK 73013

Phone #: (405) 286-1571
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KATHRYN HALL DO 2952
STEPHEN AKIRA HOPKINS MD 24615
JEANIE L KLABZUBA DO 4229
GARY MONROE LAWRENCE MD 14150
CASEY LYNN MARKLAND MD 24603
BRENDON MCCOLLOM DO 4315
ERIC MILLS DO 4667
SACHIDANANDAN NAIDU MD 21643
SANTIAGO R REYES DE LA ROCHA MD 11652
JOHN EDWARD SEGUIN MD 19008
CASSIE MARIE SMITH MD 31266
JIGNESH JAYESHCHANDRA VERAGIWALA MD 23499

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