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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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BALL, AUDRA SUZANNE
Practice Address: 6600 NORTH OLIE AVE SUITE C
OKLAHOMA CITY OK 73116

Address last updated on 3/17/2024
Phone #: (405) 419-5665
Fax #: (405) 419-5429
County: OKLAHOMA
License: 1589
Dated: 1/25/2007
Expires: 3/31/2025
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:
6600 NORTH OLIE AVE SUITE C
OKLAHOMA CITY OK 73116

Phone #: (405) 419-5665
Fax #: (405) 419-5429

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHLEY CALDWELL COGAR MD 25001

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