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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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SHAFER, RYNE       
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: THE SPINE CLINIC
9800 BROADWAY EXT
SUITE 203
OKLAHOMA CITY OK 73114
Address last updated on 8/14/2024
Phone #: (405) 424-5415
Fax #:
County: OKLAHOMA
License: 3225
Dated: 6/29/2020
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:
THE SPINE CLINIC
9800 BROADWAY EXT
SUITE 203
OKLAHOMA CITY OK 73114
Phone #: (405) 424-5415
Fax #:

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
A.D. BEACHAM III DO 5351
BRETT ALAN BRALY MD 30393
CHRISTOPHER SHANE HUME DO 4199
MICHAEL BRANDON JOHNSON MD 26521
RAYMOND GARRETT STEINMETZ MD 31497

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