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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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OWEN, BRET REID       
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: WILL ROGERS AIR NATIONAL GUARD
7100 TERMINAL DR
OKC OK 73159

Address last updated on 5/20/2024
Phone #: (405) 686-5149
Fax #:
County: OKLAHOMA
License: 819
Dated: 4/1/1997
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:
WILL ROGERS AIR NATIONAL GUARD
7100 TERMINAL DR
OKC OK 73159

Phone #: (405) 686-5149
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOEL WILLIAM ANDERSON III MD 16163
EDWARD RAYMOND ARMSTRONG MD 17271
CURTIS ERROL BALL DO 3932
SCOTT ALLEN CHAPPELL MD 24268
GARY DON CONRAD MD 11784
MICHAEL VON KALCICH MD 18986
Keith R. Layne DO 3364
SANG LEE DO 3864
MICHAEL DAVID PADGHAM MD 17682
ANGELA L SELMON MD 17207
STEPHANIE JAYNE TOTH MD 25091
ANDREW VUONG MD 24161
BLAKE WEAVER DO 4267
ARDRY LANCE YARBROUGH MD 22046

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