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Next Update: Sunday, November 17, 2024 12:00 PM CST

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DAVIS, MARK LEROY       
Practice Address: ST ANTHONY PHYSICIANS SHAWNEE
PO BOX 849
3315 KETHLEY ROAD
SHAWNEE OK 74804
Address last updated on 2/17/2024
Phone #: (405) 273-5801
Fax #: (405) 878-3805
County: POTTAWATOMIE
License: 801
Dated: 12/26/1996
Expires: 3/31/2025
Temp. Ltr. Issued: 8/1/1996
Temp. Ltr. Expires: 8/1/1997
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:
ST ANTHONY PHYSICIANS SHAWNEE
PO BOX 849
3315 KETHLEY ROAD
SHAWNEE OK 74804
Phone #: (405) 273-5801
Fax #: (405) 878-3805

Hospital Privileges:

SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANGELO ARGENTO MD 24716
GREGORY LEE BLAIR MD 19544
MICHAEL WAYNE BUTCHER MD 14277
PHILLIP ANTHONY HADDAD MD 17395
KIMBERLY KAYE HANIGAR MD 18949
DAVID LEE HOLLAND JR MD 17426
JEREMY P HOLTER MD 22964
KELLI DENISE KOONS MD 22002
ADAM VAIL STEPHENS MD 24050
H STAN WOOD DO 2406

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