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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 12:02 PM CDT
Next Update: Wednesday, April 24, 2024 4:30 PM CDT

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HANES, RICHARD DEAN
Practice Address: THE PHYSICIANS HOSPITAL OF ANADARKO
1002 E CENTRAL BLVD
ANADARKO OK 73005

Address last updated on 2/9/2024
Phone #: (405) 247-5004
Fax #:
County: CADDO
License: 1346
Dated: 5/10/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 11/23/2016
Temp. Ltr. Expires: 3/2/2017
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
THE PHYSICIANS HOSPITAL OF ANADARKO
1002 E CENTRAL BLVD
ANADARKO OK 73005

Phone #: (405) 247-5004
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DONALD T BROCK DO 3638
DONALD FRANK HASLAM MD 13136
MARK GREGORY LIPE MD 16509
RAKESH SHRIVASTAVA MD 27981

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