GIBBONS, ANGELA LYNN - Licensee Information

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

GIBBONS, ANGELA LYNN

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:	FALLINGWATER MEDICAL ASSOC. PLLC 1334 HARVILLE RD DUNCAN OK 73533 Address last updated on 3/10/2024
Phone #:	(580) 255-8564
Fax #:
County:	STEPHENS
License:	4445
Dated:	11/2/2020
Expires:	3/31/2025
Temp. Ltr. Issued:	10/23/2020
Temp. Ltr. Expires:	11/5/2020
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:
FALLINGWATER MEDICAL ASSOC. PLLC 1334 HARVILLE RD DUNCAN OK 73533 Phone #: (580) 255-8564 Fax #:

Hospital Privileges:

Duncan Regional Hospital
Duncan, OK

Name:	Type:	License Number:
Primary Supervisor(s):
MAYANK NANDKISHOR DAVE	MD	25648
NAVNIDHI KAUR	MD	28570
FRANCIS JAMES MCGOURAN III	MD	17237

Return to Search Licensees page