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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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TAYLOR, BRADLEY       
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 HOSPITAL HEALDTON
3462 HOSPITAL RD
HEALDTON OK 73438

Address last updated on 3/27/2024
Phone #:
Fax #:
County: CARTER
License: 4463
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:
MERCY HOSPITAL HEALDTON
3462 HOSPITAL RD
HEALDTON OK 73438

Phone #:
Fax #:

Hospital Privileges:

Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AREEB SOHAIL BANGASH MD 34667
HAROLD NATHANIAL CLAVER DO 4746
John M. Cloud DO 5956
LIRIN KOZHY JACOB MD 33985
JEFFREY ALAN ROTHER MD 17679
LINDSAY ANNE WILSON DO 5100

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