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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

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DANG, PHONG T       
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: JUST KIDS PEDIATRICS
2921 SW 89TH STREET
OKLAHOMA CITY OK 73159

Address last updated on 7/24/2024
Phone #: (405) 757-7818
Fax #:
County: OKLAHOMA
License: 3207
Dated: 6/4/2020
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:
JUST KIDS PEDIATRICS
2921 SW 89TH STREET
OKLAHOMA CITY OK 73159

Phone #: (405) 757-7818
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JENNIFER BROOKE STEWART MD 29782
NOEL ROBERT WILLIAMS MD 17885

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