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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

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ROSE, ANNA       
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: OU HEALTH
800 STANTON L YOUNG BLVD AAT-3400
OKLAHOMA CITY OK 73104
Address last updated on 2/25/2024
Phone #: (405) 271-4426
Fax #:
County: OKLAHOMA
License: 5073
Dated: 8/18/2023
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:
OU HEALTH
800 STANTON L YOUNG BLVD AAT-3400
OKLAHOMA CITY OK 73104
Phone #: (405) 271-4426
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRANDON REECE HULL MD 35707
THOMAS P. LEHMAN MD 20240
SANTARAM VALLURUPALLI MD 30833

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