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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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POTTS, AMY ELIZABETH       
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: SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST
2825 PARKLAWN DR
MIDWEST CITY OK 73110

Address last updated on 3/15/2024
Phone #: (405) 610-4411
Fax #:
County: OKLAHOMA
License: 3055
Dated: 5/22/2019
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:
SSM HEALTH ST. ANTHONY HOSPITAL - MIDWEST
2825 PARKLAWN DR
MIDWEST CITY OK 73110

Phone #: (405) 610-4411
Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD BORIN DO 3746
CONRAD C CALDWELL III MD 22805
CHARLES GARRIOTT DO 5168
JOSEPH GRILLO MD 12405
ALICIA KRUMMEL MD 29988
BRET LANGERMAN DO 3270
JULIE LEWIS DO 5247

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