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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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OLIVELLA, HARRY JAMES       
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: HUGO MEDICAL CLINIC
1201 E JACKSON ST
HUGO OK 74743

Address last updated on 3/24/2024
Phone #: (580) 326-6423
Fax #:
County: CHOCTAW
License: 2820
Dated: 10/25/2017
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:
HUGO MEDICAL CLINIC
1201 E JACKSON ST
HUGO OK 74743

Phone #: (580) 326-6423
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAVID CAMPBELL DO 4465
WAYNE FLATT DO 2521
TEDDY RAY ROWLAND MD 14790

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