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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

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SHAFER, RYNE
Practice Address: THE SPINE CLINIC
9800 BROADWAY EXT
SUITE 203
OKLAHOMA CITY OK 73114

Address last updated on 3/27/2024
Phone #: (405) 424-5415
Fax #:
County: OKLAHOMA
License: 3225
Dated: 6/29/2020
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:
THE SPINE CLINIC
9800 BROADWAY EXT
SUITE 203
OKLAHOMA CITY OK 73114

Phone #: (405) 424-5415
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
A.D. BEACHAM III DO 5351
BRETT ALAN BRALY MD 30393
CHRISTOPHER SHANE HUME DO 4199
MICHAEL BRANDON JOHNSON MD 26521
RAYMOND GARRETT STEINMETZ MD 31497

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