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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 1:43 PM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

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GRIM, STEPHANIE CARLETON
Practice Address: 3330 NW 56TH
SUITE 400
OKLAHOMA CITY OK 73112

Address last updated on 3/8/2024
Phone #: (405) 945-4220
Fax #: (405) 945-4893
County: OKLAHOMA
License: 23471
Dated: 5/19/2005
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
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 / 2002
CME Year: 2026
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Lakeside Women's Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
3330 NW 56TH
SUITE 400
OKLAHOMA CITY OK 73112

Phone #: (405) 945-4220
Fax #: (405) 945-4893
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AUDREY GRACE MCGOWEN PA 2591

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