LANDRUM, CORD TANNER - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

LANDRUM, CORD TANNER

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:	CENTRAL OKLAHOMA FAMILY MEDICAL CENTER 905 COLONY DRIVE ADA OK 74820 Address last updated on 12/16/2024
Phone #:	(580) 436-5111
Fax #:
County:	PONTOTOC
License:	3003
Dated:	11/8/2018
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:
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER 905 COLONY DRIVE ADA OK 74820 Phone #: (580) 436-5111 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
Paul Franklin Warlick	DO	4967

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