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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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WEISMAN, PERRY RUSSELL
Practice Address: ALLIANCEHEALTH PONCA CITY EMERGENCY DEPARTMENT
1900 N 14TH ST
PONCA CITY OK 74601

Address last updated on 4/19/2021
Phone #: (580) 765-3321
Fax #:
County: KAY
License: 38204
Dated: 4/19/2021
Expires: 4/1/2023
License Type: Medical Doctor
Specialty: Internal Medicine
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ALLIANCEHEALTH PONCA CITY EMERGENCY DEPARTMENT
1900 N 14TH ST
PONCA CITY OK 74601

Phone #: (580) 765-3321
Fax #:

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