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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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GARNER, AMANDA       
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: 105365 S. HIGHWAY 102
MCLOUD OK 74851

Address last updated on 3/25/2024
Phone #: (405) 964-2081
Fax #: (405) 964-2217
County: OKLAHOMA
License: 4628
Dated: 7/14/2021
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:
105365 S. HIGHWAY 102
MCLOUD OK 74851

Phone #: (405) 964-2081
Fax #: (405) 964-2217

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JIM DAVIS DO 3845
INGRID WORRELL JACKSON MD 15786
Dawn M. Lovins DO 4208
BRENDA JOYCE MAH-MCCAA MD 34369

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