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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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PHILLIPS, LAURA NICOLE       
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: CARDIO VASCULAR HEALTH CLINIC
3200 QUAIL SPRINGS PARKWAY SUITE 200
OKLAHOMA CITY OK 73134

Address last updated on 3/1/2024
Phone #: (405) 701-9880
Fax #:
County: OKLAHOMA
License: 4869
Dated: 10/25/2022
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:
CARDIO VASCULAR HEALTH CLINIC
3200 QUAIL SPRINGS PARKWAY SUITE 200
OKLAHOMA CITY OK 73134

Phone #: (405) 701-9880
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARCUS JOHN SMITH MD 25706

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