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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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STARK, DOYLE GENE JR       
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: ODVA LAWTON/FT SILL VETERANS CENTER
501 SE FLOWER MOUND ROAD
LAWTON OK 73501

Address last updated on 3/3/2024
Phone #: (580) 354-4150
Fax #: (580) 354-4121
County: COMANCHE
License: 491
Dated: 5/2/1987
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:
ODVA LAWTON/FT SILL VETERANS CENTER
501 SE FLOWER MOUND ROAD
LAWTON OK 73501

Phone #: (580) 354-4150
Fax #: (580) 354-4121

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
HENRY DEAN VAUGHAN DO 2031

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