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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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HANSON, RICHARD ENNISS
Practice Address: 100 VALLEY DR
PAULS VALLEY OK 73075-6613

Address last updated on 3/29/2024
Phone #: (405) 866-5100
Fax #:
County: LINCOLN
License: 1837
Dated: 6/26/2009
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:
100 VALLEY DR
PAULS VALLEY OK 73075-6613

Phone #: (405) 866-5100
Fax #:

Hospital Privileges:

Ponca City Medical Center -CHS (frmly Via Christi)
Ponca City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CAYCI LYNN BRICKMAN MD 33600
COREY FINCH MD 25495
SAMANTHA LEWELLEN JACKSON MD 19876
GEORGE RODNEY PETRY MD 24137
ROSS D RIDDLE DO 5803
MATTHEW CAMERON RUMSEY MD 30848
Deacon R. Vice DO 5644

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