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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 4, 2024 4:53 PM CDT
Next Update: Sunday, May 5, 2024 2:50 AM CDT

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CONNEYWERDY, JULIA HOPE
Practice Address: 1402 S. MISSISSIPPI AVE.
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 3/15/2024
Phone #: (580) 436-3980
Fax #:
County: PONTOTOC
License: 2980
Dated: 12/13/2018
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:
1402 S. MISSISSIPPI AVE.
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THEODORE MARK RUTLEDGE MD 33535
RIKKI JUSTICE SCOGGIN MD 21536

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