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Oklahoma Board of Medical Licensure and Supervision

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

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HAMMONDS, KALI       
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 CLINIC OB/GYN - EDMOND I-35
2017 W. I-35 FRONTAGE ROAD SUITE 260
EDMOND OK 73013
Address last updated on 11/5/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 4586
Dated: 6/8/2021
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:
MERCY CLINIC OB/GYN - EDMOND I-35
2017 W. I-35 FRONTAGE ROAD SUITE 260
EDMOND OK 73013
Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GEORGE RODNEY PETRY MD 24137
STEPHANIE DETER PICKETT MD 29015

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