LONG, ANGELA G - Licensee Information - Oklahoma Medical Board

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

LONG, ANGELA G

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:	ALLERGY PARTNERS OF OKLAHOMA 3201 N VAN BUREN ST #350 ENID OK 73703 Address last updated on 2/19/2024
Phone #:	(580) 366-0844
Fax #:
County:	GARFIELD
License:	4519
Dated:	2/9/2021
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:
ALLERGY PARTNERS OF OKLAHOMA 3201 N VAN BUREN ST #350 ENID OK 73703 Phone #: (580) 366-0844 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
TIMOTHY DAVID TROJAN	MD	29671

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