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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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WEBER, EMILY NOEL       
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: JACK C. MONTGOMERY VA MEDICAL CENTER
1011 HONOR HEIGHTS DRIVE
MUSKOGEE OK 74401

Address last updated on 2/16/2024
Phone #: (918) 577-3000
Fax #:
County: MUSKOGEE
License: 4534
Dated: 2/9/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 2/2/2021
Temp. Ltr. Expires: 3/11/2021
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:
JACK C. MONTGOMERY VA MEDICAL CENTER
1011 HONOR HEIGHTS DRIVE
MUSKOGEE OK 74401

Phone #: (918) 577-3000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEPHEN MICHAEL ACKERLEY MD 22311
THOMAS ANTHONY DODSON MD 9537
Hannah Jayroe DO 7243
STEVEN BLAINE KATSIS MD 18954
ROCKY MAX MORGAN MD 17305
PETER RICHARD NELSON MD 33362
MARK ALFORD RANDEL MD 16951

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