Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

Return to Search Licensees page

WALTHER, JONATHAN PAUL
Practice Address: 1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 3/4/2024
Phone #: (580) 421-4550
Fax #:
County: OKLAHOMA
License: 33099
Dated: 7/1/2018
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 2017
CME Year: 2024
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 421-4550
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RACHEL RENEE BIRCHFIELD PA 4900
LESLEY KEESEE APRN 80872

Return to Search Licensees page