SARGENT, TAYLOR MADYSON - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SARGENT, TAYLOR MADYSON

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:	STILLWATER MEDICAL PHYSICANS CLINIC 1815 W 6TH AVE STILLWATER OK 74074 Address last updated on 3/1/2024
Phone #:	(405) 743-7300
Fax #:
County:	PAYNE
License:	4825
Dated:	7/25/2022
Expires:	3/31/2025
Temp. Ltr. Issued:	7/5/2022
Temp. Ltr. Expires:	7/28/2022
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:
STILLWATER MEDICAL PHYSICANS CLINIC 1815 W 6TH AVE STILLWATER OK 74074 Phone #: (405) 743-7300 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DANIEL PHILIP HILL	MD	20784

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