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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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HADDOCK, ELIZABETH MORGAN       
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: MERCY HOSPITAL HEALDTON
3462 HOSPITAL RD
HEALDTON OK 73438

Address last updated on 3/26/2024
Phone #: (580) 229-0701 x1040
Fax #: (580) 229-0691
County: CARTER
License: 2817
Dated: 12/29/2017
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:
MERCY HOSPITAL HEALDTON
3462 HOSPITAL RD
HEALDTON OK 73438

Phone #: (580) 229-0701 x1040
Fax #: (580) 229-0691

Hospital Privileges:

Hospital Not Listed
,
Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Jane Detrich DO 5551
Christopher Gasbarra DO 6899
LIRIN KOZHY JACOB MD 33985
CALEB DAVID KING MD 33146
ARIEL ERIK SANTOS LUFKIN MD 30231
RICHARD ORDONEZ SANTOS MD 26397

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