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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT
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|
PECK, JOHNATHAN WAYNE |
| Practice Address: |
AVV CEALTH CENTERS
201 N 32ND ST.
MUSKOGEE OK 74401-2104
Address last updated on 3/6/2024 |
| Phone #: |
(918) 912-2333 |
| Fax #: |
|
| County: |
MUSKOGEE |
| License: |
4971 |
| Dated: |
2/23/2023 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
1/25/2023 |
|
Temp.
Ltr.
Expires:
|
3/16/2023 |
| 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.
|
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Hospital Privileges:
None listed
|
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
Bryan K. Ledbetter
|
DO |
4427 |
|
|
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