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Last Update: Friday, April 26, 2024 11:33 AM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT
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|
WAGNER, JERAD SCOTT |
| Practice Address: |
MERCY PRIMARY CARE
1020 N COMMERCE
ARDMORE OK 73401
Address last updated on 3/13/2024 |
| Phone #: |
(580) 223-5311 |
| Fax #: |
(580) 220-6429 |
| County: |
CARTER |
| License: |
2197 |
| Dated: |
1/29/2013 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
1/25/2013 |
|
Temp.
Ltr.
Expires:
|
4/1/2013 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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