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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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ENSZ, ABIGAIL MARIE       
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: IDEAL IMAGE
13230 PAWNEE DR SUITE 201
OKLAHOMA CITY OK 73114

Address last updated on 2/2/2024
Phone #: (405) 241-5027
Fax #:
County: OKLAHOMA
License: 4704
Dated: 11/2/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 11/1/2021
Temp. Ltr. Expires: 11/18/2021
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:
IDEAL IMAGE
13230 PAWNEE DR SUITE 201
OKLAHOMA CITY OK 73114

Phone #: (405) 241-5027
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOSEPH CLIFTON BROOME MD 23006

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