KNOERDEL, RYAN ROBERT - 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

KNOERDEL, RYAN ROBERT

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:	MCALESTER REGIONAL HEALTH CENTER 1 CLARK BASS BLVD MCALESTER OK 74501 Address last updated on 11/20/2024
Phone #:	(918) 421-6753
Fax #:
County:	PITTSBURG
License:	5035
Dated:	4/26/2023
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:
MCALESTER REGIONAL HEALTH CENTER 1 CLARK BASS BLVD MCALESTER OK 74501 Phone #: (918) 421-6753 Fax #:

Hospital Privileges:

McAlester Regional Health Center
McAlester, OK

Name:	Type:	License Number:
Primary Supervisor(s):
PATRICK RUSSELL GANNON	MD	20652
Gregg Podleski	DO	8369

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