ROSE, SCOTT L. - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

ROSE, SCOTT 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:	FAMILY HEALTH MEDICINE 1506 S AGNEW AVENUE OKLAHOMA CITY OK 73114 Address last updated on 9/24/2024
Phone #:	(405) 755-8000
Fax #:
County:	OKLAHOMA
License:	691
Dated:	12/22/1994
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:
FAMILY HEALTH MEDICINE 1506 S AGNEW AVENUE OKLAHOMA CITY OK 73114 Phone #: (405) 755-8000 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
JOSEPH ARDEN BLOUGH	MD	19535
RICHARD RAYMOND HARTMAN	MD	19847

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