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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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WALKE, JUSTIN PAUL       
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: SSM BEHAVIORAL HEALTH
1031 N LEE AVE
OKLAHOMA CITY OK 73102

Address last updated on 5/13/2024
Phone #: (405) 272-7225
Fax #:
County: OKLAHOMA
License: 4624
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:
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:
SSM BEHAVIORAL HEALTH
1031 N LEE AVE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-7225
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
FAZAL AKBAR ALI MD 24129
ALAN STUART BOCK MD 15266
TARIQ ASADULLAH KHAN MD 33459
Christopher J. Snyder DO 5627
GEETIKA MEHRISHI VERMA MD 27670

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