PENA, MARCOS JOSUE - 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

PENA, MARCOS JOSUE

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:	STIGLER HEALTH AND WELLNESS CENTER, INC - SALLISAW 1630 SOUTH KERR BLVD SALLISAW OK 74955 Address last updated on 2/27/2024
Phone #:	(918) 967-3368
Fax #:
County:	SEQUOYAH
License:	5264
Dated:	4/24/2024
Expires:	3/31/2025
Temp. Ltr. Issued:	3/5/2024
Temp. Ltr. Expires:	5/16/2024
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
STIGLER HEALTH AND WELLNESS CENTER, INC - SALLISAW 1630 SOUTH KERR BLVD SALLISAW OK 74955 Phone #: (918) 967-3368 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
RODNEY KEITH MCDONALD	MD	28165

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