DANG, PHONG T - Licensee Information - Oklahoma Medical Board

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

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

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

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