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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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FADUM, SHAWN THOMAS
Practice Address: IMES SLEEP SERVICES
3727 NW 63RD ST STE #112
OKLAHOMA CITY OK 73116

Address last updated on 2/26/2024
Phone #: (405) 600-1210
Fax #:
County: OKLAHOMA
License: 2640
Dated: 1/14/2016
Expires: 3/31/2025
Temp. Ltr. Issued: 1/8/2016
Temp. Ltr. Expires: 5/12/2016
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:
IMES SLEEP SERVICES
3727 NW 63RD ST STE #112
OKLAHOMA CITY OK 73116

Phone #: (405) 600-1210
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KATHRYN HALL DO 2952
NORMAN KERR IMES JR MD 9429
DOUGLAS RYAN RIDDLE MD 23957

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