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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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THOMPSON, FEROZA       
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: EPIPHANY DERMATOLOGY OF OKLAHOMA, LLC
3111 AZALEA PARK DR
MUSKOGEE OK 74401

Address last updated on 9/10/2024
Phone #: (918) 608-1382
Fax #:
County: MUSKOGEE
License: 5271
Dated: 4/24/2024
Expires: 3/31/2025
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:
EPIPHANY DERMATOLOGY OF OKLAHOMA, LLC
3111 AZALEA PARK DR
MUSKOGEE OK 74401

Phone #: (918) 608-1382
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JORGE ROMAN MD 38975

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