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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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DERIKS, RITA       
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: INTEGRIS CARDIOVASCULAR PHYSICIANS
3433 NW 56TH ST STE 670
OKLAHOMA CITY OK 73112

Address last updated on 6/27/2024
Phone #: (405) 951-4345
Fax #:
County: OKLAHOMA
License: 4967
Dated: 2/23/2023
Expires: 3/31/2025
Temp. Ltr. Issued: 12/15/2022
Temp. Ltr. Expires: 3/16/2023
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:
INTEGRIS CARDIOVASCULAR PHYSICIANS
3433 NW 56TH ST STE 670
OKLAHOMA CITY OK 73112

Phone #: (405) 951-4345
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHARLES CRAIG ELKINS MD 20620
DANIEL ROSS FRENO MD 38118
JEFFERY CHAD JOHNSON MD 41736
JAMES DAVID NEEL MD 26456
MICHAEL CHRISTOPHER PALMER MD 39636
JONES PHILIP THOMAS MD 39503

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