MEFFORD, MIKAYLA NEAL - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

MEFFORD, MIKAYLA NEAL

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:	RED RIVER MEDICAL SERVICES 4411 W GORE BLVD SUITE A2 LAWTON OK 73505 Address last updated on 7/20/2024
Phone #:	(580) 699-8383
Fax #:
County:	COMANCHE
License:	4436
Dated:	11/4/2020
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:
RED RIVER MEDICAL SERVICES 4411 W GORE BLVD SUITE A2 LAWTON OK 73505 Phone #: (580) 699-8383 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
KEENAN L FERGUSON	DO	4405
DAVID ALLEN HANLEY	MD	26782
Deacon R. Vice	DO	5644

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