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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 12:17 PM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT

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MILLER, LAURA BAXTER
Practice Address: 4400 GRANT BLVD
YUKON OK 73099

Address last updated on 2/8/2024
Phone #: (405) 787-8556
Fax #:
County: OKLAHOMA
License: 929
Dated: 11/19/1998
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:
4400 GRANT BLVD
YUKON OK 73099

Phone #: (405) 787-8556
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TRACY A. KIDWELL DO 3809
PAUL DAVID ROTHWELL MD 10533

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