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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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PARKS, ANGELA FAY       
Practice Address: SSM HEALTH ST ANTHONY HOSPITAL
REGIONAL BRAIN INSTITUTE
1000 N LEE AVE
OKLAHOMA CITY OK 73102

Address last updated on 5/1/2024
Phone #: (405) 272-7000
Fax #:
County: OKLAHOMA
License: 5290
Dated: 7/25/2024
Expires: 3/31/2025
Temp. Ltr. Issued: 5/13/2024
Temp. Ltr. Expires: 7/25/2024
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:
SSM HEALTH ST ANTHONY HOSPITAL
REGIONAL BRAIN INSTITUTE
1000 N LEE AVE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-7000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAVANKUMAR BOMMASAMUDRAM MD 27309

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