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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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HERZER, TAYLOR BROOKE       
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: VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 3/25/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 2937
Dated: 6/21/2018
Expires: 3/31/2025
Temp. Ltr. Issued: 6/4/2018
Temp. Ltr. Expires: 9/13/2018
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:
VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ERIK ANGLES MD 29780
CHRISTOPHER BARNETT ARNOLD MD 31328
MATTHEW RAY BONNER MD 24385
MATTHEW DAVID CAUDLE MD 26822
BRIAN COOK DO 3253
ROBERT LEWIS CUNNINGHAM III MD 26843
BRETT WILLIAM DERREVERE MD 32738
DAVID RYAN FISH MD 26914
RICHARD BRUCE HEIGLE MD 17668
MARCIA LEE HOOS-REINKE MD 25010
DATHAN DUANE JAY MD 23512
JOHN CHARLES KAUFMAN MD 30699
CHRISTOPHER KEITH KELSO MD 31447
SHELTON KNUDSEN DO 5582
RACHEL E LaFORTUNE MD 25247
COLBY D. MAYO DO 4029
PETER FREDERICK MCLAUGHLIN MD 21569
JOSH ERIC MCWILLIAMS MD 23717
MARK GRADY MILES MD 18554
TYLER JOANNA MORGAN MD 28341
TAM MINH NGUYEN MD 33346
DILLON JACK ROACH MD 26891
AMANDA SATTERWHITE MD 31662
KEVIN LYLE WHITE MD 23997

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