HALL, TAD ALAN - Licensee Information - Oklahoma Medical Board

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Last Update: Friday, December 20, 2024 6:44 PM CST
Next Update: Saturday, December 21, 2024 2:50 AM CST

HALL, TAD ALAN

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:	MERCY HEALTH - LOVE COUNTY 300 WANDA MARIETTA OK 73448-3810 Address last updated on 2/4/2024
Phone #:	(580) 276-3347
Fax #:	(580) 276-4795
County:	LOVE
License:	377
Dated:	9/18/1982
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:
MERCY HEALTH - LOVE COUNTY 300 WANDA MARIETTA OK 73448-3810 Phone #: (580) 276-3347 Fax #: (580) 276-4795

Hospital Privileges:

Mercy Health Love County
Marietta, OK

Name:	Type:	License Number:
Primary Supervisor(s):
TERRY GENE JONES	MD	16370
JOE WITTEN	DO	4257

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