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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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ELLIS, STACY LUANN
Practice Address: STILLWATER MEDICAL URGENT CARE
518 E LAKEVIEW RD
STILLWATER OK 74075

Address last updated on 3/11/2024
Phone #: (405) 533-8990
Fax #:
County: PAYNE
License: 1724
Dated: 1/29/2008
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:
STILLWATER MEDICAL URGENT CARE
518 E LAKEVIEW RD
STILLWATER OK 74075

Phone #: (405) 533-8990
Fax #:

Hospital Privileges:

Hospital(s) Not In Oklahoma
,

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK ROBERT MUELLER MD 15532

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