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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 3:13 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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MONTGOMERY, SAMUEL THURSTON
Practice Address: SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD.
LAWTON OK 73505

Address last updated on 8/2/2023
Phone #:
Fax #:
County: COMANCHE
License: 35134
Dated: 8/27/2019
Expires: 8/1/2024
Temp. Lic. Issued: 8/6/2019
Temp. Lic. Expires: 9/12/2019
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 2010
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD.
LAWTON OK 73505

Phone #:
Fax #:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARL DOUGLAS JACKSON PA 2616

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