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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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TAYLOR, PAIGE NICOLE
|
Practice Address: |
US DERMATOLOGY PARTNERS
900 E 13TH ST
GROVE OK 74344
Address last updated on 3/22/2024 |
Phone #: |
(417) 624-0440 |
Fax #: |
|
County: |
DELAWARE |
License: |
4622 |
Dated: |
7/14/2021 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
6/23/2021 |
Temp.
Ltr.
Expires:
|
7/29/2021 |
License Type: |
Physician Assistant |
Specialty: |
|
|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
DEREK SHANE TOWERY
|
MD |
18877 |
|
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