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Last Update: Saturday, April 20, 2024 4:03 AM CDT
Next Update: Saturday, April 20, 2024 12:00 PM CDT

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CALLISON, JACOB LEON
Practice Address: BROKEN ARROW DIAGNOSTIC MEDICINE
5050 E KENOSHA ST
BROKEN ARROW OK 74014

Address last updated on 3/1/2024
Phone #: (918) 994-5140
Fax #: (918) 994-5150
County: WAGONER
License: 1844
Dated: 10/19/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 9/4/2009
Temp. Ltr. Expires: 11/20/2009
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:
BROKEN ARROW DIAGNOSTIC MEDICINE
5050 E KENOSHA ST
BROKEN ARROW OK 74014

Phone #: (918) 994-5140
Fax #: (918) 994-5150

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Brandon Bailey DO 5349
ROBERT LEE VALENTINE MD 27774

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