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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT

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BLAKEBURN, ROBERT VAN       
Practice Address: 800 FRISCO AVENUE
CLINTON OK 73601

Address last updated on 1/4/2021
Phone #: (580) 323-2700
Fax #: (580) 323-2276
County: CUSTER
License: 17199
Dated: 3/17/1990
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Physical Medicine & Rehabilitation
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1987
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
800 FRISCO AVENUE
CLINTON OK 73601

Phone #: (580) 323-2700
Fax #: (580) 323-2276
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY MORRIS APRN 92194
ANGELA POPE-BAILEY APRN 69193

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