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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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VISCARRA, SARAH ELIZABETH       
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: SOUTHWEST ORTHOPEDICS
5610 SW LEE BLVD
LAWTON OK 73505

Address last updated on 5/29/2024
Phone #: (580) 353-8600
Fax #:
County: COMANCHE
License: 2680
Dated: 7/14/2016
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:
SOUTHWEST ORTHOPEDICS
5610 SW LEE BLVD
LAWTON OK 73505

Phone #: (580) 353-8600
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MUNAWAR ALI MD 24167
DANNY WAYNE GILES MD 19795
THOMAS JOSEPH MD 24778
KRISTIE MARIE MASON MD 27917

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