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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 16, 2024 9:35 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT

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HALL, THOMAS CARL       
Practice Address: 1212 W 12TH AVE.
STILLWATER OK 74074

Address last updated on 5/12/2024
Phone #: (405) 533-3376
Fax #: (405) 533-1312
County: PAYNE
License: 22869
Dated: 7/1/2003
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Dermatology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2002
CME Year: 2027
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.
Certifications: AMERICAN BOARD OF DERMATOLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
1212 W 12TH AVE.
STILLWATER OK 74074

Phone #: (405) 533-3376
Fax #: (405) 533-1312
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915 E Owen K Garriott Rd
Suite D
Enid, OK 73701

Phone #: (580) 599-0648
Fax #: (7) 202-
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916 19th St
Woodward, OK 73801

Phone #: (580) 448-0801
Fax #: (6) 202-
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415 Fairview Ave.
Suite 202
Ponca City, OK 74601

Phone #: (580) 576-3369
Fax #: (5) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KENDA GALE BAKER PA 635
SHANNON WHITNEY CLARK PA 4606
DEANNA JOHNSTON CUMMINGS PA 917
ERIN PAIGE KRUCKENBERG PA 2828

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