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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT
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|
JOHNSON, PAUL DAVIS |
| Practice Address: |
GATEWAY
1010 E 45TH STREET
SHAWNEE OK 74804
Address last updated on 4/3/2024 |
| Phone #: |
(405) 273-1170 |
| Fax #: |
(405) 275-5132 |
| County: |
OKLAHOMA |
| License: |
14767 |
| Dated: |
6/30/1984 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Addiction Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1983 |
| CME Year: |
2025 |
|
|
Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 11/30/1998 |
Probation Ended |
|
|
| 1/5/1995 |
Probation |
|
|
| 9/9/1994 |
Surrendered License |
|
|
Board Filings and/or Orders:
11/12/1998
01/05/1995
07/07/1994
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Medical Center
Oklahoma City, OK
|
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
ANGELA AMPARANO
|
APRN |
63717 |
|
|
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