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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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RENOUARD, ELIZABETH SPENCER       
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: INTEGRIS SPINE AND NEUROLOGICAL SURGERY
3433 NW 56TH ST BUILDING B SUITE 900
OKLAHOMA CITY OK 73112

Address last updated on 2/13/2024
Phone #: (405) 552-0401
Fax #:
County: OKLAHOMA
License: 4604
Dated: 6/15/2021
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:
INTEGRIS SPINE AND NEUROLOGICAL SURGERY
3433 NW 56TH ST BUILDING B SUITE 900
OKLAHOMA CITY OK 73112

Phone #: (405) 552-0401
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ADEDAMOLA ADEPOJU MD 43101
MATTHEW CHARLES MACALLISTER MD 43236
JEREMY TODD PHELPS MD 27908
PAL SINGH RANDHAWA MD 27232
STEWART CURRY SMITH MD 15335
CAPLE ANTHONY SPENCE MD 26541
HURTIS JERON TULLOS MD 30778

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