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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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WALDROP, CHELSEA L       
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: POYNER MENTAL HEALTH SERVICES
14453 SE 29TH ST STE D
CHOCTAW OK 73020

Address last updated on 10/28/2024
Phone #: (405) 741-2844
Fax #:
County: OKLAHOMA
License: 5074
Dated: 8/17/2023
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:
POYNER MENTAL HEALTH SERVICES
14453 SE 29TH ST STE D
CHOCTAW OK 73020

Phone #: (405) 741-2844
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RICHARD GRANESE MD 39064
JAMES LE DO 5402
CHRISTOPHER STEVEN SEITZ MD 34936
CODIE JORDAN VASSAR MD 39043

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