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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 9:45 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

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PHILLIPS, CARLY FERGUSON
Practice Address: ORTHO CENTRAL
3400 W TECUMSEH RD STE 101
NORMAN OK 73072

Address last updated on 2/5/2024
Phone #: (405) 928-7998
Fax #:
County: CLEVELAND
License: 4708
Dated: 11/2/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 10/1/2021
Temp. Ltr. Expires: 11/18/2021
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:
ORTHO CENTRAL
3400 W TECUMSEH RD STE 101
NORMAN OK 73072

Phone #: (405) 928-7998
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CARLTON JOHN FERNANDES MD 32947
ZAKARY ADAM KNUTSON MD 24509

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