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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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METHENY, MICAH STEVEN       
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
200 S. ACADEMY
GUTHRIE OK 73044

Address last updated on 3/6/2024
Phone #: (405) 282-6700
Fax #:
County: LOGAN
License: 2844
Dated: 12/19/2017
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
200 S. ACADEMY
GUTHRIE OK 73044

Phone #: (405) 282-6700
Fax #:

Hospital Privileges:

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

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANDREW EATON DO 5372
GISELLE ZAGARI STUPPIELLO MD 34613

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